Provider Demographics
NPI:1942419114
Name:RAMOS, ANA M (PSYCHOLOGIST)
Entity Type:Individual
Prefix:MISS
First Name:ANA
Middle Name:M
Last Name:RAMOS
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:MISS
Other - First Name:ANA
Other - Middle Name:M
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYCHOLOGIST
Mailing Address - Street 1:405 ESMERALDA AVE
Mailing Address - Street 2:PMB 252
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:UM
Mailing Address - Phone:787-630-7411
Mailing Address - Fax:
Practice Address - Street 1:405 ESMERALDA AVE
Practice Address - Street 2:PMB 252
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:UM
Practice Address - Phone:787-630-7411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2249103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling