Healthcare Provider Details

I. General information

NPI: 1760228407
Provider Name (Legal Business Name): WILMARY SANTIAGO-RAMOS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 404
CAMUY PR
00627-0404
US

IV. Provider business mailing address

PO BOX 404
CAMUY PR
00627-0404
US

V. Phone/Fax

Practice location:
  • Phone: 787-403-1226
  • Fax:
Mailing address:
  • Phone: 787-403-1226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number3565
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: