Provider Demographics
NPI:1558379214
Name:RAMIREZ, MARIA ELENA (DDS)
Entity Type:Individual
Prefix:
First Name:MARIA ELENA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36855 AMERICAN WAY STE C
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-4059
Mailing Address - Country:US
Mailing Address - Phone:440-934-0149
Mailing Address - Fax:
Practice Address - Street 1:36855 AMERICAN WAY STE C
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-4059
Practice Address - Country:US
Practice Address - Phone:440-934-0149
Practice Address - Fax:440-934-3990
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30022043122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2525039Medicaid
OH2525039Medicaid
OHRA7330451Medicare PIN