Healthcare Provider Details

I. General information

NPI: 1295661338
Provider Name (Legal Business Name): YARIVETTE RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE 3 D13 URB. VILLAS DE CASTRO
CAGUAS PR
00725
US

IV. Provider business mailing address

D13 CALLE 3
CAGUAS PR
00725-4610
US

V. Phone/Fax

Practice location:
  • Phone: 787-460-2369
  • Fax:
Mailing address:
  • Phone: 787-460-2369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number438729
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: