Individual
FABIOLA DELS SUR RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 AVE PONCE DE LEON STE 510, SAN JUAN, PR 00917-5027
(787) 753-5055
Mailing address
CARR 177 COND SANTA MARIA 139, APT 404, SAN JUAN, PR 00926
(787) 906-1397
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6106151
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/10/2021
Last updated
08/01/2022
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