Provider Demographics
NPI:1427266816
Name:RAMEY DENTAL GROUP, PSC
Entity type:Organization
Organization Name:RAMEY DENTAL GROUP, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTOYA ZAVALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:787-890-0060
Mailing Address - Street 1:PO BOX 250611
Mailing Address - Street 2:RAMEY STATION
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0611
Mailing Address - Country:US
Mailing Address - Phone:787-890-0060
Mailing Address - Fax:787-890-3635
Practice Address - Street 1:SUITE 201 CALLE BELT
Practice Address - Street 2:RAMEY STATION
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00604-0611
Practice Address - Country:US
Practice Address - Phone:787-890-0060
Practice Address - Fax:787-890-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19111223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty