Provider Demographics
NPI:1407502974
Name:RAMOS RODRIGUEZ, OSCAR EDUARDO (DDS)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:EDUARDO
Last Name:RAMOS RODRIGUEZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 TREE TOP DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33332-2148
Mailing Address - Country:US
Mailing Address - Phone:786-702-7395
Mailing Address - Fax:
Practice Address - Street 1:5350 W HILLSBORO BLVD STE 201
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4396
Practice Address - Country:US
Practice Address - Phone:954-708-2157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN26639122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty