Provider Demographics
NPI:1457741787
Name:SALAS RAMOS, MILAGROS (MSW)
Entity Type:Individual
Prefix:
First Name:MILAGROS
Middle Name:
Last Name:SALAS 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 1:219-13 CALLE 501
Mailing Address - Street 2:VILLA CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-3049
Mailing Address - Country:US
Mailing Address - Phone:787-547-7774
Mailing Address - Fax:
Practice Address - Street 1:219-13 CALLE 501
Practice Address - Street 2:VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-3049
Practice Address - Country:US
Practice Address - Phone:787-547-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR104511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical