Provider Demographics
NPI:1831989680
Name:LEON RAMIREZ, CRISTINA DE LA CARIDAD
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:DE LA CARIDAD
Last Name:LEON RAMIREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:DE LA CARIDAD
Other - Last Name:LEON RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10710 SW 70TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2013
Mailing Address - Country:US
Mailing Address - Phone:786-767-9002
Mailing Address - Fax:
Practice Address - Street 1:10710 SW 70TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2013
Practice Address - Country:US
Practice Address - Phone:786-767-9002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25-432554106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician