Healthcare Provider Details

I. General information

NPI: 1609114388
Provider Name (Legal Business Name): LEONOR RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2013
Last Update Date: 12/02/2020
Certification Date: 12/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

981 E 29TH ST
HIALEAH FL
33013-3422
US

IV. Provider business mailing address

1275 W 47TH PL STE 303
HIALEAH FL
33012-3447
US

V. Phone/Fax

Practice location:
  • Phone: 786-426-2967
  • Fax:
Mailing address:
  • Phone: 305-825-4320
  • Fax: 305-825-8117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: