Provider Demographics
NPI:1386467967
Name:RAMOS, KENISHA ALVAREZ (TRABAJADORA SOCIAL)
Entity type:Individual
Prefix:
First Name:KENISHA
Middle Name:ALVAREZ
Last Name:RAMOS
Suffix:
Gender:F
Credentials:TRABAJADORA SOCIAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE C 103 PARCELAS NAVAS
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-634-3215
Mailing Address - Fax:
Practice Address - Street 1:CALLE C 103 PARCELAS NAVAS
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-634-3215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR160001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical