Basic Information
| Provider Information | |||||||||
| NPI: | 1134607872 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAMOS | ||||||||
| FirstName: | FRANCISCO | ||||||||
| MiddleName: | EMANUEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | HC 1 BOX 3472 | ||||||||
| Address2: | |||||||||
| City: | ADJUNTAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006019539 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7879431568 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 184 CALLE GUADALUPE | ||||||||
| Address2: | |||||||||
| City: | PONCE | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007303561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877040705 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2018 | ||||||||
| LastUpdateDate: | 01/24/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 23940 | PR | N | Behavioral Health & Social Service Providers | Social Worker | 103T00000X | 6270 | PR | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.