Provider Demographics
NPI:1851477749
Name:RAMIREZ, JULIANA (DMD)
Entity type:Individual
Prefix:DR
First Name:JULIANA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 JOSE ESPINOSA ST.
Mailing Address - Street 2:BORINQUEN GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6324
Mailing Address - Country:US
Mailing Address - Phone:787-755-4420
Mailing Address - Fax:
Practice Address - Street 1:220 PLAZA WESTERN AUTO
Practice Address - Street 2:SUITE 203
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-3606
Practice Address - Country:US
Practice Address - Phone:787-755-4420
Practice Address - Fax:787-755-4420
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice