MEDICARE: DR. MAGDELIN RAMIREZ CABA

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	22D103077700	NJ
2	1223G0001X	General Practice Dentistry	40617	TX

General Provider Information

NPI Number	:	1720788227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAGDELIN RAMIREZ CABA

Provider Business Mailing Address
First Line	:	2095 NJ-88
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724
Country	:	US
Telephone Number	:	732-295-1616
Fax Number	:

Provider Business Practice Location Address
First Line	:	2095 NJ-88
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724
Country	:	US
Telephone Number	:	732-295-1616
Fax Number	:

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

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	05/14/2026

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