Provider Demographics
NPI:1548647902
Name:BARRERO RAMIREZ, ODELMIS
Entity type:Individual
Prefix:
First Name:ODELMIS
Middle Name:
Last Name:BARRERO RAMIREZ
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 1:15823 SW 136TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1810
Mailing Address - Country:US
Mailing Address - Phone:786-620-1796
Mailing Address - Fax:305-397-1287
Practice Address - Street 1:15823 SW 136TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-1810
Practice Address - Country:US
Practice Address - Phone:786-620-1796
Practice Address - Fax:305-397-1287
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
1-24-78288103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker