Provider Demographics
NPI:1669273520
Name:RAMOS, WILMARIS (MPSY)
Entity type:Individual
Prefix:
First Name:WILMARIS
Middle Name:
Last Name:RAMOS
Suffix:
Gender:
Credentials:MPSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAN ALFONSO D12 CALLE MIS AMORES
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-5821
Mailing Address - Country:US
Mailing Address - Phone:787-930-3144
Mailing Address - Fax:
Practice Address - Street 1:SAN ALFONSO D12 CALLE MIS AMORES
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-5821
Practice Address - Country:US
Practice Address - Phone:787-930-3144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8252103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty