Provider Demographics
NPI:1366485484
Name:PEREZ-GARCIA, RAMON A (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:A
Last Name:PEREZ-GARCIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1541 SANDPIPER CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1664
Mailing Address - Country:US
Mailing Address - Phone:561-703-1471
Mailing Address - Fax:
Practice Address - Street 1:505 SE 6TH AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5263
Practice Address - Country:US
Practice Address - Phone:561-278-0004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9281223S0112X
FLDN 184211223S0112X
OH191561223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0968485Medicaid