Basic Information
Provider Information
NPI: 1841294360
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HERNANDEZ-RAMOS
FirstName: JOSEFINA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PSY.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PMB 319 #1353 RD.19
Address2: AVE. LUIS VIGOREAU
City: GUAYNABO
State: PR
PostalCode: 009662700
CountryCode: US
TelephoneNumber: 7877281415
FaxNumber: 7879822014
Practice Location
Address1: 252 SAN JORGE MEDICAL BLDG.
Address2: SUITE 407
City: SAN JUAN
State: PR
PostalCode: 009110000
CountryCode: US
TelephoneNumber: 7877241415
FaxNumber: 7879822014
Other Information
ProviderEnumerationDate: 06/13/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X1652PRY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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