Provider Demographics
NPI:1902424484
Name:RAMIREZ, JUDITH JOHAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:JOHAN
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 CALLE 25 DE JULIO
Mailing Address - Street 2:
Mailing Address - City:GUANICA
Mailing Address - State:PR
Mailing Address - Zip Code:00653-2911
Mailing Address - Country:US
Mailing Address - Phone:787-438-4888
Mailing Address - Fax:
Practice Address - Street 1:CALLE VICTOR SALLABERRY #32
Practice Address - Street 2:
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00653-2911
Practice Address - Country:US
Practice Address - Phone:787-821-7759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6549103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical