Provider Demographics
NPI:1669848966
Name:RAMIREZ, SANDRA (OT)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1791
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777
Mailing Address - Country:UM
Mailing Address - Phone:787-249-8150
Mailing Address - Fax:787-734-1647
Practice Address - Street 1:C42 CALLE LOPEZ HORMAZABAL
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-1791
Practice Address - Country:US
Practice Address - Phone:787-502-4614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-20
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR488225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist