Provider Demographics
NPI:1467764407
Name:RAMIREZ, PATRICIA HELENA
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:HELENA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:HELENA
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:622 NANDINA DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2401
Mailing Address - Country:US
Mailing Address - Phone:954-781-4670
Mailing Address - Fax:954-237-4729
Practice Address - Street 1:2747 E ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-4941
Practice Address - Country:US
Practice Address - Phone:954-781-4670
Practice Address - Fax:954-237-4729
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 191051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice