Provider Demographics
NPI:1679982748
Name:RAMOS COLLAZO, YOARIS (DMD)
Entity Type:Individual
Prefix:
First Name:YOARIS
Middle Name:
Last Name:RAMOS COLLAZO
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 1:285 NW 27TH AVE
Mailing Address - Street 2:STE 21
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-5134
Mailing Address - Country:US
Mailing Address - Phone:786-238-7590
Mailing Address - Fax:305-503-6760
Practice Address - Street 1:285 NW 27TH AVE
Practice Address - Street 2:STE 21
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-5134
Practice Address - Country:US
Practice Address - Phone:786-238-7590
Practice Address - Fax:305-503-6760
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20751122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist