Provider Demographics
NPI:1952484743
Name:RAFFUCCI, RAMON ENRIQUE JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:ENRIQUE
Last Name:RAFFUCCI
Suffix:JR
Gender:M
Credentials:DMD
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Mailing Address - Street 1:VILLAS DE LAS AMERICAS
Mailing Address - Street 2:B-15 BZ.50
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-0000
Mailing Address - Country:US
Mailing Address - Phone:787-752-5315
Mailing Address - Fax:787-752-5315
Practice Address - Street 1:KL-5 FIDALGO DIAZ AVE.
Practice Address - Street 2:VILLA FONTANA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-0000
Practice Address - Country:US
Practice Address - Phone:787-752-5315
Practice Address - Fax:787-752-5315
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR12731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice