Provider Demographics
NPI:1659570521
Name:RAMOS, GERRYANNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:GERRYANNE
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
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:ESTANCIAS DE SAN GERARDO
Mailing Address - Street 2:CALLE AUGUSTA #1627
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-633-3864
Mailing Address - Fax:
Practice Address - Street 1:ESTANCIAS DE SAN GERARDO
Practice Address - Street 2:CALLE AUGUSTA #1627
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-633-3864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2702122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist