Provider Demographics
NPI:1831291004
Name:RAMIREZ-DE-ARELLANO, ORLANDO JR (DENTIST)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:
Last Name:RAMIREZ-DE-ARELLANO
Suffix:JR
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1155
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683
Mailing Address - Country:UM
Mailing Address - Phone:787-309-7887
Mailing Address - Fax:
Practice Address - Street 1:114 CALLE DR VEVE STE 102
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4163
Practice Address - Country:US
Practice Address - Phone:787-264-2080
Practice Address - Fax:787-264-2080
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR20381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice