Provider Demographics
NPI:1922453554
Name:RONACHER, RAQUEL (BS)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:RONACHER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12618
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33101-2618
Mailing Address - Country:US
Mailing Address - Phone:305-767-1924
Mailing Address - Fax:305-673-5917
Practice Address - Street 1:1040 BISCAYNE BLVD
Practice Address - Street 2:3606
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1706
Practice Address - Country:US
Practice Address - Phone:786-553-6663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2017-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst