Healthcare Provider Details

I. General information

NPI: 1982168951
Provider Name (Legal Business Name): NATALIA V. RAMIREZ RODRIGUEZ, DENTISTRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2019
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EXT 1 CALLE SOL
SAN GERMAN PR
00683
US

IV. Provider business mailing address

R3 CALLE CEDRO URB VALLE HERMOSO NORTE
HORMIGUEROS PR
00660
US

V. Phone/Fax

Practice location:
  • Phone: 787-264-5437
  • Fax:
Mailing address:
  • Phone: 787-214-0275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NATALIA VANESSA RAMIREZ
Title or Position: PRESIDENT
Credential: DMD
Phone: 787-214-0275