Provider Demographics
NPI:1437876208
Name:RAMOS MARCANO, YADIRA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:YADIRA
Middle Name:
Last Name:RAMOS MARCANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CALLE ACERINA
Mailing Address - Street 2:EXT VILLA LOS SANTOS II
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-3096
Mailing Address - Country:US
Mailing Address - Phone:939-308-8490
Mailing Address - Fax:
Practice Address - Street 1:301 CALLE ACERINA
Practice Address - Street 2:EXT VILLA LOS SANTOS II
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-3096
Practice Address - Country:US
Practice Address - Phone:939-308-8490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR152951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical