MEDICARE: RAQUEL RAMIREZ

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
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1821258161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUEL RAMIREZ

Provider Business Mailing Address
First Line	:	1500 AVE SAN IGNACIO
Second Line	:	BOX 40
City	:	SAN JUAN
State	:	PR
Zip	:	00921-4706
Country	:	US
Telephone Number	:	787-644-2232
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 AVE SAN IGNACIO
Second Line	:	BOX 40
City	:	SAN JUAN
State	:	PR
Zip	:	00921-4706
Country	:	US
Telephone Number	:	787-644-2232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	06/10/2008

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Directions to “ RAQUEL RAMIREZ ” Practice Location

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