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General NPI Number Information
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NPI Number | 1538078316
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Entity Type | Organization
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Legal Business Name | LUIS ALEJANDRO GODINEZ RAMIREZ
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Dates
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Enumeration Date | 09/05/2026
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Last Update Date | 09/05/2026
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Provider Practice Location Address
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Address Line | AVE. SANTA MARIA STE 706
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City | TIJUANA
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State | BAJA CALIFORNIA
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Zip | 22044
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Country | MX
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 501 ANITA ST SPC 185
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City | CHULA VISTA
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State | CA
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Zip | 91911-4764
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. LUIS ALEJANDRO GODINEZ RAMIREZ
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Credential | DDS
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Telephone | 664-438-5001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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