Provider Demographics
NPI:1891723243
Name:BORRERO LOPEZ, RAMON JOSE (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:JOSE
Last Name:BORRERO LOPEZ
Suffix:
Gender:M
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:CALLE 9 # 105
Mailing Address - Street 2:URB. EL ROSARIO
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-267-1782
Mailing Address - Fax:
Practice Address - Street 1:54 CALLE MATTEI LLUBERAS
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3633
Practice Address - Country:US
Practice Address - Phone:787-856-1095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0019261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice