Provider Demographics
NPI:1336803584
Name:RAMIREZ, PEDRO N (DMD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:N
Last Name:RAMIREZ
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 1:6101 VINELAND RESORT WAY APT 415
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-5622
Mailing Address - Country:US
Mailing Address - Phone:347-990-6062
Mailing Address - Fax:
Practice Address - Street 1:7800 W SAND LAKE RD STE 220
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5198
Practice Address - Country:US
Practice Address - Phone:407-934-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN26719122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist