# FOUR MOLAR PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164814042
- **Authorized official:** DR. RAFAEL E RAMIREZ DIAZ DMD (OWNER)
- **Authorized official phone:** (787) 786-8540

## Contact information

- **Practice address:** 429 CALLE REY LUIS, LA VILLA DE TORRIMAR, GUAYNABO, PR 00969-3170
- **Practice address phone:** (787) 786-8540
- **Practice address fax:** (787) 995-0431
- **Mailing address:** 429 CALLE REY LUIS, LA VILLA DE TORRIMAR, GUAYNABO, PR 00969-3170
- **Mailing address phone:** (787) 786-8540
- **Mailing address fax:** (787) 995-0431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 1997 | PR | Yes |

## Other

- **Enumeration date:** 03/02/2015
- **Last updated:** 03/02/2015