Provider Demographics
NPI:1689492266
Name:RAMOS MARTINEZ, SAMANTHA C
Entity type:Individual
Prefix:
First Name:SAMANTHA C
Middle Name:
Last Name:RAMOS MARTINEZ
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 1:2239 HARDING ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-2344
Mailing Address - Country:US
Mailing Address - Phone:305-896-8571
Mailing Address - Fax:
Practice Address - Street 1:2239 HARDING ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-2344
Practice Address - Country:US
Practice Address - Phone:305-896-8571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician