Provider Demographics
NPI:1689822157
Name:RAMOS, KATHERINE EMILLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:EMILLE
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 1:525 AVE FD ROOSEVELT
Mailing Address - Street 2:OFC 807
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-8058
Mailing Address - Country:US
Mailing Address - Phone:787-813-9898
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO PAVIA II CALLE AMERICO SALAS 1449
Practice Address - Street 2:SUITE 202
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-721-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA58651223P0300X
PR27271223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics