Provider Demographics
NPI:1811414824
Name:ALFONSO RAMOS, NIAMEY
Entity Type:Individual
Prefix:
First Name:NIAMEY
Middle Name:
Last Name:ALFONSO RAMOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14845 SW 297TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-3841
Mailing Address - Country:US
Mailing Address - Phone:786-387-3146
Mailing Address - Fax:
Practice Address - Street 1:14845 SW 297TH TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-3841
Practice Address - Country:US
Practice Address - Phone:786-387-3146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician