Healthcare Provider Details

I. General information

NPI: 1891805487
Provider Name (Legal Business Name): FRANCISCO JOSE RAMIREZ-BRUNET D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE BETANCES # H56 URB HNAS. DAVILA
BAYAMON PR
00959
US

IV. Provider business mailing address

AVE BETANCES # H56 URB HNAS. DAVILA
BAYAMON PR
00959
US

V. Phone/Fax

Practice location:
  • Phone: 787-780-6275
  • Fax: 787-758-8435
Mailing address:
  • Phone: 787-780-6275
  • Fax: 787-758-8435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number735
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: