Provider Demographics
NPI:1952379927
Name:RAMIREZ-LOPEZ, GUILLERMO VICTOR (DMD)
Entity Type:Individual
Prefix:DR
First Name:GUILLERMO
Middle Name:VICTOR
Last Name:RAMIREZ-LOPEZ
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:PO BOX 1195
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1195
Mailing Address - Country:US
Mailing Address - Phone:787-746-0363
Mailing Address - Fax:787-743-0383
Practice Address - Street 1:QUADRANGLE MEDICAL CENTER-SUITE 309
Practice Address - Street 2:AVE. MUNOZ MARIN URB. NOTRE DAME
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-0363
Practice Address - Fax:787-743-0383
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8821223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics