MEDICARE: DR. LUIS ALBERTO RAMOS D.M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN 17350	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114000304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS ALBERTO RAMOS D.M.D

Provider Business Mailing Address
First Line	:	19312 NW 42ND CT
Second Line	:
City	:	OPA LOCKA
State	:	FL
Zip	:	33055-2205
Country	:	US
Telephone Number	:	305-621-5568
Fax Number	:	305-625-8271

Provider Business Practice Location Address
First Line	:	4538 NW 183RD ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-3045
Country	:	US
Telephone Number	:	305-625-8272
Fax Number	:	305-625-8271

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. LUIS ALBERTO RAMOS D.M.D” Practice Location

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