Provider Demographics
NPI:1790416683
Name:DEL SOL RAMOS, RACHELL THALIA
Entity Type:Individual
Prefix:
First Name:RACHELL
Middle Name:THALIA
Last Name:DEL SOL RAMOS
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 1:15085 SW 8TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-2763
Mailing Address - Country:US
Mailing Address - Phone:786-626-5727
Mailing Address - Fax:
Practice Address - Street 1:11401 SW 40TH ST STE 465
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3340
Practice Address - Country:US
Practice Address - Phone:786-580-4609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-22-202362106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician