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NPI Code Detail

MEDICARE: DR. LORENZO RAMIREZ DDS

MEDICARE: DR. LORENZO RAMIREZ DDS
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
11223G0001XGeneral Practice Dentistry20176TX

General Provider Information

NPI Number : 1790908416
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORENZO RAMIREZ DDS
Provider Business Mailing Address
First Line : 1128 LION WAY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78251-4076
Country : US
Telephone Number : 210-922-5199
Fax Number : 210-922-5199
Provider Business Practice Location Address
First Line : 600 DIVISION AVE STE A
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78214-1336
Country : US
Telephone Number : 210-924-7277
Fax Number : 210-922-5199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/08/2007

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Directions to “ DR. LORENZO RAMIREZ DDS” Practice Location

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