Provider Demographics
NPI:1699856963
Name:RAMIREZ RATHMELL, MARIA DEL CARMEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA DEL CARMEN
Middle Name:
Last Name:RAMIREZ RATHMELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CARMEN
Other - Middle Name:
Other - Last Name:RAMIREZ RATHMELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1520 CORPUS CHRISTI ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040
Mailing Address - Country:US
Mailing Address - Phone:956-726-0160
Mailing Address - Fax:956-726-1655
Practice Address - Street 1:1520 CORPUS CHRISTI ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040
Practice Address - Country:US
Practice Address - Phone:956-726-0160
Practice Address - Fax:956-726-1655
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135011223G0001X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223G0001XDental ProvidersDentistGeneral Practice
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics