Organization
ORTODONCIA DEL NOROSESTE CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMARIE RAMOS FERNANDEZ DMD (ORTHODONTIST)
(787) 891-0993
Entity
Organization
Contact information
Practice address
CARR 107 KM 0 7, BO BARINQUEN, AGUADILLA, PR 00603
(787) 891-0993
(787) 891-7041
Mailing address
PO BOX 4456, AGUADILLA, PR 00605-4456
(787) 891-0993
(787) 891-7041
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2319
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57239
TRIPLE S INC
—
Enumeration date
06/05/2007
Last updated
08/22/2020
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