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General NPI Number Information
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NPI Number | 1477971299
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Entity Type | Individual
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Provider Name | GUILLERMO JOSE RAMIREZ-MARTINEZ DMD, MS
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Gender | Male
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Dates
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Enumeration Date | 03/29/2014
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | QUADRANGLE MEDICAL CENTER 309 AVE LUIS MUNOZ MARIN
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-746-0363
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 CALLE RESEDA
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City | SAN JUAN
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State | PR
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Zip | 00927-6620
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Country | US
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Telephone | 787-248-1880
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 3310
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License Number State | PR
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