Healthcare Provider Details

I. General information

NPI: 1639808041
Provider Name (Legal Business Name): STEPHANIE MARIE RAMIREZ M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO MEDICO HERMANAS DAVILA SUITE 208
BAYAMON PR
00959
US

IV. Provider business mailing address

RR 7 BOX 17009
TOA ALTA PR
00953-8835
US

V. Phone/Fax

Practice location:
  • Phone: 787-631-7019
  • Fax:
Mailing address:
  • Phone: 787-631-7019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7417
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number7417
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: