Provider Demographics
NPI:1720816820
Name:LIDIA HERNANDEZ DE RAMIREZ DDS INC
Entity type:Organization
Organization Name:LIDIA HERNANDEZ DE RAMIREZ DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LIDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ DE RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-757-7392
Mailing Address - Street 1:1829 RIGOLETTO DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-1339
Mailing Address - Country:US
Mailing Address - Phone:408-757-7392
Mailing Address - Fax:
Practice Address - Street 1:1753 LANDESS AVE
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-7019
Practice Address - Country:US
Practice Address - Phone:408-757-7392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental