Healthcare Provider Details

I. General information

NPI: 1346744091
Provider Name (Legal Business Name): SOHARIS MARI RAMOS COLON DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 653 KM 2.2 SECTOR BARRANCA
ARECIBO PR
00612
US

IV. Provider business mailing address

URB VEREDAS CAMINO LAS PALMAS 253 CALLE 6
GURABO PR
00778
US

V. Phone/Fax

Practice location:
  • Phone: 787-816-8674
  • Fax:
Mailing address:
  • Phone: 787-922-5857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number3288
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: