Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 4170 | PR |
Y | 103TC0700X | Clinical Psychologist | 4170 | PR |
NPI | 1003291477 |
---|---|
Provider Name | Dr. Norma Enid Ramos Solla |
First Address | Ponce, PR 00728-5222 |
Second Address | Ponce, PR 00728-5222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2015 |
Last Update Date | 27/07/2015 |