Provider Demographics
NPI:1821673757
Name:RAMOS, ELBA JOSEFINA
Entity Type:Individual
Prefix:
First Name:ELBA
Middle Name:JOSEFINA
Last Name: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 1:6572 SWISSCO DR APT 217
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-3209
Mailing Address - Country:US
Mailing Address - Phone:786-818-2712
Mailing Address - Fax:
Practice Address - Street 1:6572 SWISSCO DR APT 217
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-3209
Practice Address - Country:US
Practice Address - Phone:786-818-2712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician