Provider Demographics
NPI:1609540830
Name:RAMOS-ELVIR, DIANA
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:RAMOS-ELVIR
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 1:4975 NW 167TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-4134
Mailing Address - Country:US
Mailing Address - Phone:954-324-4566
Mailing Address - Fax:
Practice Address - Street 1:4975 NW 167TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-4134
Practice Address - Country:US
Practice Address - Phone:954-324-4566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-02
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health