Provider Demographics
NPI:1760228407
Name:SANTIAGO-RAMOS, WILMARY (DMD)
Entity type:Individual
Prefix:DR
First Name:WILMARY
Middle Name:
Last Name:SANTIAGO-RAMOS
Suffix:
Gender:F
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:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-0220
Mailing Address - Country:US
Mailing Address - Phone:787-403-1226
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL SCIENCE CAMPUS
Practice Address - Street 2:MAIN BUILDING-OFFICE #A103B, 1ST FLOOR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program