Provider Demographics
NPI:1073637534
Name:WILLIAMS-GARCIA, RONALD KEITH (LMFT)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:KEITH
Last Name:WILLIAMS-GARCIA
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:DR
Other - First Name:RONALD
Other - Middle Name:KEITH
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:117 CALLE REAL
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9243
Mailing Address - Country:US
Mailing Address - Phone:787-507-5523
Mailing Address - Fax:
Practice Address - Street 1:117 CALLE REAL
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-9243
Practice Address - Country:US
Practice Address - Phone:787-507-5523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YP1600X, 101YP1600X
PAMF000526106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1073637534Medicaid