Provider Demographics
NPI:1538044771
Name:GUZMAN DE RAMIREZ, JOHANNA ANDREINA
Entity type:Individual
Prefix:
First Name:JOHANNA
Middle Name:ANDREINA
Last Name:GUZMAN DE 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 1:15295 SW 107TH LN APT 1008
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4545
Mailing Address - Country:US
Mailing Address - Phone:786-660-1372
Mailing Address - Fax:
Practice Address - Street 1:15295 SW 107TH LN APT 1008
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4545
Practice Address - Country:US
Practice Address - Phone:786-660-1372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25454727106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician