Basic Information
Provider Information
NPI: 1003291477
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMOS SOLLA
FirstName: NORMA
MiddleName: ENID
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: MONTEMAR APTS # 1523
Address2: AVE LAS BRISAS APTO 124
City: PONCE
State: PR
PostalCode: 007285222
CountryCode: US
TelephoneNumber: 7879295280
FaxNumber:  
Practice Location
Address1: MONTEMAR APTS # 1523
Address2: AVE LAS BRISAS APTO 124
City: PONCE
State: PR
PostalCode: 007285222
CountryCode: US
TelephoneNumber: 7879295280
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2015
LastUpdateDate: 07/27/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X4170PRY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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