Healthcare Provider Details

I. General information

NPI: 1225213531
Provider Name (Legal Business Name): ROCIO RAMIREZ FLORES MFT 80005
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROCIO RAMIREZ

II. Dates (important events)

Enumeration Date: 01/04/2008
Last Update Date: 09/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 IOOF AVE
GILROY CA
95020-5204
US

IV. Provider business mailing address

290 IOOF AVE
GILROY CA
95020-5204
US

V. Phone/Fax

Practice location:
  • Phone: 408-243-0222
  • Fax:
Mailing address:
  • Phone: 408-846-2100
  • Fax: 408-842-8815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number80005
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: