Provider Demographics
NPI:1538591136
Name:RAMOS, MARIA DE LA S (MA)
Entity type:Individual
Prefix:
First Name:MARIA DE LA
Middle Name:S
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 CALLE SARASATE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3057
Mailing Address - Country:US
Mailing Address - Phone:787-767-9661
Mailing Address - Fax:
Practice Address - Street 1:913 CALLE SARASATE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3057
Practice Address - Country:US
Practice Address - Phone:787-767-9661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000900103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical