Provider Demographics
NPI:1528210317
Name:PEREZ, RAMON LUIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:LUIS
Last Name:PEREZ
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:PO BOX 2996
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-5996
Mailing Address - Country:US
Mailing Address - Phone:787-300-7526
Mailing Address - Fax:
Practice Address - Street 1:D4 JUNCOS PLAZA
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-857-5010
Practice Address - Fax:787-857-5010
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2015-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR28401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice