Provider Demographics
NPI:1942393020
Name:RAMOS, ELENA M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:M
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:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:PUERO REAL
Mailing Address - State:PR
Mailing Address - Zip Code:00740-0445
Mailing Address - Country:US
Mailing Address - Phone:787-860-1717
Mailing Address - Fax:787-285-4319
Practice Address - Street 1:URH MONTE BNSAS CALLE H A50
Practice Address - Street 2:
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-860-1717
Practice Address - Fax:787-285-4319
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice