Healthcare Provider Details

I. General information

NPI: 1548780075
Provider Name (Legal Business Name): ESTER LIDIA RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2017
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

566 SE PORT ST LUCIE BLVD
PORT ST LUCIE FL
34984-5108
US

IV. Provider business mailing address

1115 SW ARC CT
PORT ST LUCIE FL
34953-6835
US

V. Phone/Fax

Practice location:
  • Phone: 561-529-1932
  • Fax:
Mailing address:
  • Phone: 954-471-1667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: