=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104746791
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROGELIO GARZA RAMIREZ
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2026
-----------------------------------------------------
Last Update Date | 07/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | AVE HIDALGO #333
-----------------------------------------------------
City | MIGUEL ALEMAN
-----------------------------------------------------
State | TAMAULIPAS
-----------------------------------------------------
Zip | 88300
-----------------------------------------------------
Country | MX
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 700
-----------------------------------------------------
City | ROMA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78584-0700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DENTIST
-----------------------------------------------------
Name | DR. ROGELIO GARZA RAMIREZ
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 619-272-9025
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223E0200X
-----------------------------------------------------
Taxonomy Name | Endodontics
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------