Provider Demographics
NPI:1619783990
Name:JARAMILLO, RUTH ARELY
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ARELY
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:RUTH
Other - Middle Name:ARELY
Other - Last Name:JARAMILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1035 BELVIDERE ST STE 123
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-2433
Mailing Address - Country:US
Mailing Address - Phone:915-642-9203
Mailing Address - Fax:
Practice Address - Street 1:1035 BELVIDERE ST STE 123
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-2433
Practice Address - Country:US
Practice Address - Phone:915-642-9203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician