Provider Demographics
NPI:1891088373
Name:RAMOS, EVELYN CRUZ (MSW)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:CRUZ
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. EXT VILLAS DE BUENA VENTURA CALLE DIAMANTE
Mailing Address - Street 2:#633
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767
Mailing Address - Country:US
Mailing Address - Phone:787-646-1475
Mailing Address - Fax:
Practice Address - Street 1:URB. EXT VILLAS DE BUENA VENTURA CALLE DIAMANTE
Practice Address - Street 2:#633
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767
Practice Address - Country:US
Practice Address - Phone:787-646-1475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5735104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical