Provider Demographics
NPI:1831980507
Name:RAMIREZ ADVANCED PERIODONTICS LLC
Entity type:Organization
Organization Name:RAMIREZ ADVANCED PERIODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FABIOLA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:RAMIREZ MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-402-6759
Mailing Address - Street 1:50 AVE LUIS MUNOZ MARIN STE 309
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3982
Mailing Address - Country:US
Mailing Address - Phone:787-743-0383
Mailing Address - Fax:
Practice Address - Street 1:50 AVE LUIS MUNOZ MARIN STE 309
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3982
Practice Address - Country:US
Practice Address - Phone:787-743-0383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty