MEDICARE: MARIA VICTORIA RAMOS DMD

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	2728	PR
2	1223P0700X	Prosthodontics	2728	PR

General Provider Information

NPI Number	:	1558561233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA VICTORIA RAMOS DMD

Provider Business Mailing Address
First Line	:	EDIFICIO DR CENTER
Second Line	:	SUITE 201
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680
Country	:	US
Telephone Number	:	787-344-5111
Fax Number	:	787-753-1249

Provider Business Practice Location Address
First Line	:	104 CALLE VIOLETA
Second Line	:	SANTA MARIA
City	:	SAN JUAN
State	:	PR
Zip	:	00927-6212
Country	:	US
Telephone Number	:	787-759-7911
Fax Number	:	787-753-1249

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

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	01/03/2023

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