Provider Demographics
NPI:1508084526
Name:RAMOS-FLORES, MINNETTE RICA DANTES (OTRL)
Entity Type:Individual
Prefix:
First Name:MINNETTE RICA
Middle Name:DANTES
Last Name:RAMOS-FLORES
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 PLANDOME RD
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-1971
Mailing Address - Country:US
Mailing Address - Phone:516-869-4476
Mailing Address - Fax:516-869-5578
Practice Address - Street 1:585 PLANDOME RD
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-1971
Practice Address - Country:US
Practice Address - Phone:516-869-4476
Practice Address - Fax:516-869-5578
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004296225X00000X
NY013325-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist