Provider Demographics
NPI:1548099864
Name:RAMOS TENDERO, DYLAN J
Entity type:Individual
Prefix:
First Name:DYLAN J
Middle Name:
Last Name:RAMOS TENDERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21250 NW 14TH PL APT 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2712
Mailing Address - Country:US
Mailing Address - Phone:786-682-7124
Mailing Address - Fax:
Practice Address - Street 1:21250 NW 14TH PL APT 103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-2712
Practice Address - Country:US
Practice Address - Phone:786-682-7124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician