Provider Demographics
NPI:1558147462
Name:RAMIREZ MUNOZ, YENEYS
Entity Type:Individual
Prefix:
First Name:YENEYS
Middle Name:
Last Name:RAMIREZ MUNOZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 W HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33815-3621
Mailing Address - Country:US
Mailing Address - Phone:727-637-5301
Mailing Address - Fax:
Practice Address - Street 1:5120 S FLORIDA AVE
Practice Address - Street 2:STE 302
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2527
Practice Address - Country:US
Practice Address - Phone:863-816-4253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician