Provider Demographics
NPI:1831672591
Name:RAMIREZ SANTA, JUANA JOSEFINA (SW)
Entity Type:Individual
Prefix:
First Name:JUANA
Middle Name:JOSEFINA
Last Name:RAMIREZ SANTA
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 3712
Mailing Address - Street 2:
Mailing Address - City:MAUNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00707-9659
Mailing Address - Country:US
Mailing Address - Phone:787-929-1291
Mailing Address - Fax:
Practice Address - Street 1:JARDINES DEL VALENCIANO
Practice Address - Street 2:S19 ORQUIDEA
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-9659
Practice Address - Country:US
Practice Address - Phone:787-929-1291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13098104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker