Provider Demographics
NPI:1619209376
Name:RAMOS, OMAYRA J (MA)
Entity Type:Individual
Prefix:
First Name:OMAYRA
Middle Name:J
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BO. CECILIA, CARR. 31
Mailing Address - Street 2:PO BOX 383
Mailing Address - City:RIO BLANCO
Mailing Address - State:PR
Mailing Address - Zip Code:00744-0383
Mailing Address - Country:US
Mailing Address - Phone:787-316-6295
Mailing Address - Fax:
Practice Address - Street 1:BO. CECILIA
Practice Address - Street 2:CARR. 31
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718
Practice Address - Country:US
Practice Address - Phone:787-316-6295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3643103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling