Healthcare Provider Details

I. General information

NPI: 1811199656
Provider Name (Legal Business Name): JAVIER MAURICIO RAMIREZ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 DORIC AVE
CRANSTON RI
02910-2903
US

IV. Provider business mailing address

311 DORIC AVE
CRANSTON RI
02910-2903
US

V. Phone/Fax

Practice location:
  • Phone: 401-942-4867
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN03104
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: