Provider Demographics
NPI:1780778894
Name:RAMIREZ, ELISA (DMD)
Entity type:Individual
Prefix:MRS
First Name:ELISA
Middle Name:
Last Name:RAMIREZ
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 1:4651SHERIDAN ST
Mailing Address - Street 2:SUITE 300 A
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021
Mailing Address - Country:US
Mailing Address - Phone:954-986-7000
Mailing Address - Fax:954-986-7040
Practice Address - Street 1:4651SHERIDAN ST
Practice Address - Street 2:DR. ELISA RAMIREZ D.M.D., PA. SUITE 300 A
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021
Practice Address - Country:US
Practice Address - Phone:954-986-7000
Practice Address - Fax:954-986-7040
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN127741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice