Provider Demographics
NPI:1568247997
Name:RAMON, HAROL ROBERTO
Entity Type:Individual
Prefix:
First Name:HAROL
Middle Name:ROBERTO
Last Name:RAMON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 MOUNT CALVARY RD
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:SC
Mailing Address - Zip Code:29847-3510
Mailing Address - Country:US
Mailing Address - Phone:786-622-3505
Mailing Address - Fax:
Practice Address - Street 1:252 MOUNT CALVARY RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:SC
Practice Address - Zip Code:29847-3510
Practice Address - Country:US
Practice Address - Phone:786-622-3505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician