Provider Demographics
NPI:1497729719
Name:RAMOS CUBERO, WANDA (LCDA PHLMS)
Entity Type:Individual
Prefix:MS
First Name:WANDA
Middle Name:
Last Name:RAMOS CUBERO
Suffix:
Gender:F
Credentials:LCDA PHLMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 18270
Mailing Address - Street 2:SECTOR PALOMAR
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9512
Mailing Address - Country:US
Mailing Address - Phone:787-898-8589
Mailing Address - Fax:787-898-8589
Practice Address - Street 1:HC 4 BOX 18270
Practice Address - Street 2:SECTOR PALOMAR
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-9512
Practice Address - Country:US
Practice Address - Phone:787-898-8589
Practice Address - Fax:787-898-8589
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR562235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist