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NPI Code Detail

MEDICARE: DR. JUANITA M. SANABRIA RAMOS PSY. D.

MEDICARE:  DR. JUANITA M. SANABRIA RAMOS  PSY. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1706PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
153530OTHERPRTRIPLE S
2219089OTHERPRPREFERRED MEDICAL
32732OTHERPRHUMANA APS
4464705OTHERPRFHC
5100814OTHERPRCRUZ AZUL

General Provider Information

NPI Number : 1619908068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUANITA M. SANABRIA RAMOS PSY. D.
Provider Business Mailing Address
First Line : 78 VIA MIRADERO
Second Line : HACIENDA SAN JOSE
City : CAGUAS
State : PR
Zip : 00727-3007
Country : US
Telephone Number : 787-703-0655
Fax Number : 787-703-0655
Provider Business Practice Location Address
First Line : 30 CALLE PADIAL
Second Line : OFFICE 314
City : CAGUAS
State : PR
Zip : 00725-3807
Country : US
Telephone Number : 787-703-0655
Fax Number : 787-703-0655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 06/09/2011

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