Provider Demographics
NPI:1932228228
Name:RAMOS-BELFON, TERESA I (DOM)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:I
Last Name:RAMOS-BELFON
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:MRS
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:BELFON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDH
Mailing Address - Street 1:6800 MONTGOMERY BLVD NE
Mailing Address - Street 2:SUITE F
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-1405
Mailing Address - Country:US
Mailing Address - Phone:505-883-9598
Mailing Address - Fax:
Practice Address - Street 1:6800 MONTGOMERY BLVD NE
Practice Address - Street 2:SUITE F
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1405
Practice Address - Country:US
Practice Address - Phone:505-883-7262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1292124Q00000X
NM967207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No124Q00000XDental ProvidersDental Hygienist