Provider Demographics
NPI:1144099946
Name:RAMIREZ, YAIMA (ITDS)
Entity type:Individual
Prefix:
First Name:YAIMA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14413 SW 179TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-2629
Mailing Address - Country:US
Mailing Address - Phone:786-426-8597
Mailing Address - Fax:
Practice Address - Street 1:14413 SW 179TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-2629
Practice Address - Country:US
Practice Address - Phone:786-426-8597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist