Provider Demographics
NPI:1629547005
Name:RAMIREZ, ADRIANA DESIREE (ITDS)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:DESIREE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 GLOWING PEACE LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-6142
Mailing Address - Country:US
Mailing Address - Phone:407-556-7218
Mailing Address - Fax:
Practice Address - Street 1:268 GLOWING PEACE LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-6142
Practice Address - Country:US
Practice Address - Phone:407-556-7218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency