MEDICARE: DR. JOSEFINA HERNANDEZ-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
1	103TC0700X	Clinical Psychologist	1652	PR

General Provider Information

NPI Number	:	1841294360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEFINA HERNANDEZ-RAMOS PSY.D.

Provider Business Mailing Address
First Line	:	PMB 319 #1353 RD.19
Second Line	:	AVE. LUIS VIGOREAU
City	:	GUAYNABO
State	:	PR
Zip	:	00966-2700
Country	:	US
Telephone Number	:	787-728-1415
Fax Number	:	787-982-2014

Provider Business Practice Location Address
First Line	:	252 SAN JORGE MEDICAL BLDG.
Second Line	:	SUITE 407
City	:	SAN JUAN
State	:	PR
Zip	:	00911-0000
Country	:	US
Telephone Number	:	787-724-1415
Fax Number	:	787-982-2014

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/08/2007

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