Provider Demographics
NPI:1669207767
Name:RAMOS-RIVERA, ARACELIS (CPL)
Entity type:Individual
Prefix:
First Name:ARACELIS
Middle Name:
Last Name:RAMOS-RIVERA
Suffix:
Gender:F
Credentials:CPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 5445
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-9874
Mailing Address - Country:US
Mailing Address - Phone:787-246-8142
Mailing Address - Fax:
Practice Address - Street 1:URB. MANSIONES DEL TESORO
Practice Address - Street 2:C. AMBAR #12
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-9874
Practice Address - Country:US
Practice Address - Phone:787-246-8142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0780101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional