Provider Demographics
NPI:1265185805
Name:RAMPERSAD, SURENDRA (DDS)
Entity type:Individual
Prefix:DR
First Name:SURENDRA
Middle Name:
Last Name:RAMPERSAD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 AEROPOST WAY # 1833
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33206-3206
Mailing Address - Country:US
Mailing Address - Phone:786-322-2032
Mailing Address - Fax:
Practice Address - Street 1:1 AEROPOST WAY # 1833
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33206-3206
Practice Address - Country:US
Practice Address - Phone:786-322-2032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZS98R1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice