Provider Demographics
NPI:1538258165
Name:RAMIREZ-LV, ERNESTO L (DMD)
Entity type:Individual
Prefix:DR
First Name:ERNESTO
Middle Name:L
Last Name:RAMIREZ-LV
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 CALLE ALMUDENA
Mailing Address - Street 2:URB. LA RAMBLA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-4085
Mailing Address - Country:US
Mailing Address - Phone:787-844-6312
Mailing Address - Fax:787-260-0162
Practice Address - Street 1:105 CALLE COMERCIO
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-1646
Practice Address - Country:US
Practice Address - Phone:787-837-2280
Practice Address - Fax:787-260-0162
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice