Provider Demographics
NPI:1477971299
Name:RAMIREZ-MARTINEZ, GUILLERMO JOSE (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:GUILLERMO
Middle Name:JOSE
Last Name:RAMIREZ-MARTINEZ
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 CALLE RESEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6620
Mailing Address - Country:US
Mailing Address - Phone:787-248-1880
Mailing Address - Fax:
Practice Address - Street 1:QUADRANGLE MEDICAL CENTER
Practice Address - Street 2:309 AVE LUIS MUNOZ MARIN
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-0363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-29
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33101223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics