Provider Demographics
NPI:1821258161
Name:RAMIREZ, RAQUEL
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name: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 1:1500 AVE SAN IGNACIO
Mailing Address - Street 2:BOX 40
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-4706
Mailing Address - Country:US
Mailing Address - Phone:787-644-2232
Mailing Address - Fax:
Practice Address - Street 1:1500 AVE SAN IGNACIO
Practice Address - Street 2:BOX 40
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4706
Practice Address - Country:US
Practice Address - Phone:787-644-2232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)