Provider Demographics
NPI:1124747795
Name:RAMOS CANDELARIA, NEIDIN
Entity type:Individual
Prefix:
First Name:NEIDIN
Middle Name:
Last Name:RAMOS CANDELARIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO LOS ALMENDROS PLAZA II 703 CALLE EIDER
Mailing Address - Street 2:APT.712
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-2379
Mailing Address - Country:US
Mailing Address - Phone:787-394-3726
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO LOS ALMENDROS PLAZA II 703 CALLE EIDER
Practice Address - Street 2:APT.712
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-2379
Practice Address - Country:US
Practice Address - Phone:787-394-3726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11532104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker