Provider Demographics
NPI:1457453664
Name:RAMIREZ, JOSE LUIS-LEON (DMD MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:LUIS-LEON
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:DMD MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6845 VALHALLA WAY
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-5627
Mailing Address - Country:US
Mailing Address - Phone:632-587-0078
Mailing Address - Fax:
Practice Address - Street 1:6845 VALHALLA WAY
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-5627
Practice Address - Country:US
Practice Address - Phone:632-587-0078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN185391223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery