Healthcare Provider Details

I. General information

NPI: 1700914017
Provider Name (Legal Business Name): AIXA M TORRES-RAMIREZ DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 02/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ZUR MELKEREI 75
LANDSTUHL GERMANY
66849
DE

IV. Provider business mailing address

PSC 2 BOX R-7124
APO AE
09012
US

V. Phone/Fax

Practice location:
  • Phone: 4963718385366
  • Fax:
Mailing address:
  • Phone: 954-889-7252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number1977
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number1977
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: