Grisel De Los a Lopez Ramos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2032 Issued in PR

Practice address

Santiago Vidarte #21
Yabucoa, PR 00767

Phone

(787) 893-1520

Fax

(787) 893-6071

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1619033156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LOS ANGELES",
            "address_2": "C F8",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTIAGO VIDARTE #21",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-893-1520",
            "fax_number": "787-893-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RAMOS",
        "first_name": "GRISEL",
        "middle_name": "DE LOS A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Y Bacteriologico Gladyan Inc.
• Luis Josue Laboy-Albert, PSY.D.
• Margarita L Laboy, RPH
• Marisandra Lebron
• Zuleimy Diana Leon
• Diany Y. Lopez Torres, MD
• Charise Julissa Lopez
• Luz Lopez, MD
• Veneranda Malave, BSN
• Jaime Marchena, LPC

• General Practice Dentistry in Yabucoa, PR
• Providers in Yabucoa, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.