Provider Demographics
NPI:1386061166
Name:RIVERA-LOZADA, RAMON (MSW)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:RIVERA-LOZADA
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 VILLAS DE HATO TEJAS
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-4312
Mailing Address - Country:US
Mailing Address - Phone:787-559-0723
Mailing Address - Fax:
Practice Address - Street 1:426 VILLAS DE HATO TEJAS
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-4312
Practice Address - Country:US
Practice Address - Phone:787-559-0723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR99961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical