Provider Demographics
NPI:1417519935
Name:RAMIREZ-CRUZ, ANGIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGIE
Middle Name:
Last Name:RAMIREZ-CRUZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:428 PROSPECT AVE APT 3R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5855
Mailing Address - Country:US
Mailing Address - Phone:347-698-2288
Mailing Address - Fax:
Practice Address - Street 1:374 STOCKHOLM ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-4006
Practice Address - Country:US
Practice Address - Phone:718-963-7174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-04
Last Update Date:2019-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYUNAVAILABLE122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist