Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 2479 | PR |
NPI | 1699862458 |
---|---|
Provider Name | Jorge L Ramirez De Arellano |
First Address | San German, PR 00683-0024 |
Second Address | San German, PR 00683-4031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 11/02/2022 |