Provider Demographics
NPI:1265255764
Name:RAMOS HERNANDEZ, ALBA
Entity type:Individual
Prefix:
First Name:ALBA
Middle Name:
Last Name:RAMOS HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11009 SW 88TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1244
Mailing Address - Country:US
Mailing Address - Phone:239-214-4799
Mailing Address - Fax:
Practice Address - Street 1:11009 SW 88TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1244
Practice Address - Country:US
Practice Address - Phone:239-214-4799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician