Provider Demographics
NPI:1740309483
Name:ESTAPE, RAMON JR
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:
Last Name:ESTAPE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7711 SW 62ND AVE
Mailing Address - Street 2:#202
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4912
Mailing Address - Country:US
Mailing Address - Phone:305-667-0047
Mailing Address - Fax:
Practice Address - Street 1:7711 SW 62ND AVE
Practice Address - Street 2:#202
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4912
Practice Address - Country:US
Practice Address - Phone:305-667-0047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4148103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist