Individual provider Active NPI

Fabiola Victoria Ramirez Martinez, DMD

  • Periodontics
  • Caguas, PR
National Provider Identifier
1174905665
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3421 Issued in PR
Practice address
50 Ave Luis Munoz Marin Ste 309
Caguas, PR 00725-3982
Phone
(787) 746-0363
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 12313 CT
Periodontics 1223P0300X 016.0133955 VT
Periodontics 1223P0300X DN1857033 MA
Periodontics 1223P0300X 3421 PR Primary

Addresses

Primary practice location

50 Ave Luis Munoz Marin Ste 309
Caguas, PR 00725-3982

Mailing address

50 Ave Luis Munoz Marin Ste 309
Caguas, PR 00725-3982
Phone (787) 402-6759

Other practice location 1

158 Main St
Agawam, MA 01001-1803
Phone (413) 786-2341

Other practice location 2

20 W Avon Rd # 101
Avon, CT 06001-3677
Phone (860) 397-6245

Other practice location 3

400 Ave Fd Roosevelt Ste 508
San Juan, PR 00918-2163
Phone (787) 777-1163

Other practice location 4

1046 Western Ave
Brattleboro, VT 05301-7144
Phone (802) 230-0194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170331001281 MA Order and Referring Only - DentistPractitioner - Dentist 2264717388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12313CTMDPeriodontist
016.0133955VTMDPeriodontist
3421PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Periodontic Solutions LLC Periodontics Current Accepting new patients
Ramirez Advanced Periodontics LLC Periodontics CurrentSince May 18, 2025 Accepting new patients
Western Mass Periodontics PC Periodontics Past Accepting new patients
Western Mass Dental Specialty Springfield PC Periodontics PastSince Dec 15, 2024 Accepting new patients

Locations

50 Ave Luis Munoz Marin
Ste 309
Caguas, PR 00725
Phone (787) 743-0383

400 Ave Fd Roosevelt
Ste 508
San Juan, PR 00918
Phone (787) 764-3737

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1174905665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AVE LUIS MUNOZ MARIN STE 309",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253982",
            "telephone_number": "787-402-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AVE LUIS MUNOZ MARIN STE 309",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253982",
            "telephone_number": "787-746-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Main St",
            "address_purpose": "LOCATION",
            "city": "Agawam",
            "state": "MA",
            "postal_code": "010011803",
            "country_code": "US",
            "telephone_number": "413-786-2341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 W Avon Rd # 101",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060013677",
            "country_code": "US",
            "telephone_number": "860-397-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Ave Fd Roosevelt Ste 508",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009182163",
            "country_code": "US",
            "telephone_number": "787-777-1163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1046 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Brattleboro",
            "state": "VT",
            "postal_code": "053017144",
            "country_code": "US",
            "telephone_number": "802-230-0194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ MARTINEZ",
        "first_name": "FABIOLA",
        "middle_name": "VICTORIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "12313",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VT",
            "license": "016.0133955",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1857033",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "3421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.