Healthcare Provider Details

I. General information

NPI: 1821766148
Provider Name (Legal Business Name): MARISLEIDYS FERREIRO RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2021
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3175 S CONGRESS AVE STE 103
PALM SPRINGS FL
33461-2502
US

IV. Provider business mailing address

219 SW 6TH LN
FLORIDA CITY FL
33034-4698
US

V. Phone/Fax

Practice location:
  • Phone: 561-729-6631
  • Fax: 561-771-6630
Mailing address:
  • Phone: 786-973-4187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-135275
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: