Provider Demographics
NPI:1649776857
Name:RAMIREZ PEREZ, LILY
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:
Last Name:RAMIREZ PEREZ
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 1:5165 W FLAGLER ST APT 10
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1276
Mailing Address - Country:US
Mailing Address - Phone:786-447-0701
Mailing Address - Fax:
Practice Address - Street 1:5165 W FLAGLER ST APT 10
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1276
Practice Address - Country:US
Practice Address - Phone:786-447-0701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty