Provider Demographics
NPI:1104107093
Name:ORIN, RAMON SANTOS (LMHC)
Entity type:Individual
Prefix:MR
First Name:RAMON
Middle Name:SANTOS
Last Name:ORIN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:MR
Other - First Name:RAMON
Other - Middle Name:SANTOS
Other - Last Name:ORIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:9428 SW 146TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1068
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9428 SW 146TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1068
Practice Address - Country:US
Practice Address - Phone:305-562-5732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8867103K00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004109700Medicaid