MEDICARE: DR. RICARDO J ABRAMS 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	2562	PR

General Provider Information

NPI Number	:	1124024898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICARDO J ABRAMS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 741
Second Line	:
City	:	ISABELA
State	:	PR
Zip	:	00662-0741
Country	:	US
Telephone Number	:	787-877-7000
Fax Number	:	787-877-7000

Provider Business Practice Location Address
First Line	:	MOCA MEDICAL PLAZA SUITE 211
Second Line	:	CARR 110 INT125
City	:	MOCA
State	:	PR
Zip	:	00676
Country	:	US
Telephone Number	:	787-877-7000
Fax Number	:	787-877-7000

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	07/08/2007

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