Provider Demographics
NPI:1689386427
Name:CAMACHO RAMIREZ, MARIA SOFIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:SOFIA
Last Name:CAMACHO RAMIREZ
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 1:5993 CURRY FORD RD APT 135
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-4248
Mailing Address - Country:US
Mailing Address - Phone:786-631-8186
Mailing Address - Fax:
Practice Address - Street 1:5993 CURRY FORD RD APT 132
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-4248
Practice Address - Country:US
Practice Address - Phone:786-631-8186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB735902106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician