Healthcare Provider Details

I. General information

NPI: 1568908366
Provider Name (Legal Business Name): JOSE ALEXANDER RAMOS CARRASQUILLO MS, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2017
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 CALLE AQUAMARINA
CAGUAS PR
00725-1908
US

IV. Provider business mailing address

35 CALLE JUAN C. BORBON STE 67 - 437
GUAYNABO PR
00969-5375
US

V. Phone/Fax

Practice location:
  • Phone: 787-744-4447
  • Fax:
Mailing address:
  • Phone: 787-624-1131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8841
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: