Provider Demographics
NPI:1245504752
Name:ORTHODONTICS ASSOCIATES, LLC
Entity type:Organization
Organization Name:ORTHODONTICS ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:QUILES RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:787-834-2003
Mailing Address - Street 1:55 CALLE MEDITACION. STE 7B
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-4850
Mailing Address - Country:US
Mailing Address - Phone:787-834-2003
Mailing Address - Fax:787-833-5272
Practice Address - Street 1:55 CALLE MEDITACION. STE 7B
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4850
Practice Address - Country:US
Practice Address - Phone:787-834-2003
Practice Address - Fax:787-833-5272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4311223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty