Provider Demographics
NPI:1942632419
Name:RAMOS, MARIA M (MA)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:M
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CALLE CELIS AGUILERA
Mailing Address - Street 2:DETRAS DEL BANCO POPULAR
Mailing Address - City:NAGUABO
Mailing Address - State:PR
Mailing Address - Zip Code:00718-2273
Mailing Address - Country:US
Mailing Address - Phone:787-400-0456
Mailing Address - Fax:
Practice Address - Street 1:33 CALLE CELIS AGUILERA
Practice Address - Street 2:DETRAS DEL BANCO POPULAR
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718-2273
Practice Address - Country:US
Practice Address - Phone:787-400-0456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5369103T00000X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103T00000XBehavioral Health & Social Service ProvidersPsychologist