MEDICARE: MR. JOSE ALEXANDER RAMOS CARRASQUILLO MS, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	8841	PR
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1568908366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSE ALEXANDER RAMOS CARRASQUILLO MS, PHD

Provider Business Mailing Address
First Line	:	35 CALLE JUAN C. BORBON
Second Line	:	STE 67 - 437
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5375
Country	:	US
Telephone Number	:	787-624-1131
Fax Number	:

Provider Business Practice Location Address
First Line	:	68 CALLE AQUAMARINA
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-1908
Country	:	US
Telephone Number	:	787-744-4447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2017
Last Update Date	:	12/23/2025

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