Healthcare Provider Details

I. General information

NPI: 1720587983
Provider Name (Legal Business Name): ANA CATALINA VAZQUEZ RAMIREZ DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 02/10/2023
Certification Date: 02/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB SAN FRANCISCO 1661 PLAYERA
SAN JUAN PR
00927-6241
US

IV. Provider business mailing address

1661 CALLE PLAYERA
SAN JUAN PR
00927-6241
US

V. Phone/Fax

Practice location:
  • Phone: 787-646-2997
  • Fax:
Mailing address:
  • Phone: 787-646-2997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number3264
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number3264
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: