Provider Demographics
NPI:1508154139
Name:RAMIREZ, HUMBERTO JOSE (PSYD)
Entity Type:Individual
Prefix:MR
First Name:HUMBERTO
Middle Name:JOSE
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 CALLE MARINA
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-3214
Mailing Address - Country:US
Mailing Address - Phone:787-225-7367
Mailing Address - Fax:
Practice Address - Street 1:161 CALLE MARINA
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3214
Practice Address - Country:US
Practice Address - Phone:787-225-7367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3928103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical