Healthcare Provider Details

I. General information

NPI: 1790657294
Provider Name (Legal Business Name): DR. JOSE KENNETH RAMOS-FIGUEROA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 CALLE MATTEI LLUBERAS
YAUCO PR
00698-3632
US

IV. Provider business mailing address

314 CALLE REINA ISABEL URB. QUINTAS
SAN GERMAN PR
00683
US

V. Phone/Fax

Practice location:
  • Phone: 787-900-4127
  • Fax:
Mailing address:
  • Phone: 787-900-4127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6880
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: