Healthcare Provider Details

I. General information

NPI: 1558561233
Provider Name (Legal Business Name): MARIA VICTORIA RAMOS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2007
Last Update Date: 01/03/2023
Certification Date: 12/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 CALLE VIOLETA SANTA MARIA
SAN JUAN PR
00927-6212
US

IV. Provider business mailing address

EDIFICIO DR CENTER SUITE 201
MAYAGUEZ PR
00680
US

V. Phone/Fax

Practice location:
  • Phone: 787-759-7911
  • Fax: 787-753-1249
Mailing address:
  • Phone: 787-344-5111
  • Fax: 787-753-1249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2728
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number2728
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: