Individual provider Active NPI

Jose Jorge Ramos-Hernandez, D.M.D.

  • Dentist
  • Corozal, PR
National Provider Identifier
1215910294
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1771 Issued in PR
Practice address
13 Calle Culto
Corozal, PR 00783-2051
Phone
(787) 859-6228
Fax
(787) 706-8314
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1771 PR Primary

Addresses

Primary practice location

13 Calle Culto
Corozal, PR 00783-2051

Mailing address

PO Box 487
Bayamon, PR 00960-0487
Phone (787) 774-1454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20161128001940 PR Order and Referring Only - DentistPractitioner - Dentist 3779862248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1771PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1215910294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600487",
            "telephone_number": "787-774-1454",
            "fax_number": "787-706-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CALLE CULTO",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007832051",
            "telephone_number": "787-859-6228",
            "fax_number": "787-706-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS-HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "JORGE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

Verify at the official NPI Registry.