Provider Demographics
NPI:1033099809
Name:RAMIREZ PENA, ONELIA YILENIA
Entity type:Individual
Prefix:
First Name:ONELIA
Middle Name:YILENIA
Last Name:RAMIREZ PENA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-3543
Mailing Address - Country:US
Mailing Address - Phone:305-491-2486
Mailing Address - Fax:
Practice Address - Street 1:125 E 14TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-3543
Practice Address - Country:US
Practice Address - Phone:305-491-2486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25468889106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty