Provider Demographics
NPI:1801276266
Name:RAMIREZ DE ARELLANO, UBALDINO (DMD)
Entity type:Individual
Prefix:
First Name:UBALDINO
Middle Name:
Last Name:RAMIREZ DE ARELLANO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 DE DIEGO EAST
Mailing Address - Street 2:SUITE #206
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-375-4425
Mailing Address - Fax:
Practice Address - Street 1:55 DE DIEGO ESTE
Practice Address - Street 2:SUITE 206
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-375-4425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice