Provider Demographics
NPI:1427627371
Name:RAMOS, RUBEN (DDS)
Entity type:Individual
Prefix:
First Name:RUBEN
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:RUBEN
Other - Middle Name:
Other - Last Name:RAMOS ALVAREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16625 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1018
Mailing Address - Country:US
Mailing Address - Phone:305-832-9256
Mailing Address - Fax:
Practice Address - Street 1:12781 MIRAMAR PKWY STE 306
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2908
Practice Address - Country:US
Practice Address - Phone:954-626-8940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901600998APP211223G0001X
FLDN273391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice