Provider Demographics
NPI:1659811677
Name:RAMOS CORTES, MARITZA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARITZA
Middle Name:
Last Name:RAMOS CORTES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1289
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-1289
Mailing Address - Country:US
Mailing Address - Phone:787-387-0974
Mailing Address - Fax:
Practice Address - Street 1:CARR #2 KM 39.5
Practice Address - Street 2:PISO 1 SUITE 104
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00694
Practice Address - Country:US
Practice Address - Phone:787-387-0974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-24
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5854103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5854Medicare PIN