Provider Demographics
NPI:1861228264
Name:SANTIAGO RAMOS, SOLAIDA (LSW)
Entity type:Individual
Prefix:MRS
First Name:SOLAIDA
Middle Name:
Last Name:SANTIAGO RAMOS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 MILDRED AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08083-2013
Mailing Address - Country:US
Mailing Address - Phone:856-261-2647
Mailing Address - Fax:
Practice Address - Street 1:215 PLEASANT ST E
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-1723
Practice Address - Country:US
Practice Address - Phone:609-415-4901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06859600104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker