Individual provider Active NPI

Jorge L Ramirez de Arellano, DENTISTA

  • Public Health Dentistry
  • San German, PR
National Provider Identifier
1699862458
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
2479 Issued in PR
Practice address
48 Calle Dr Veve
San German, PR 00683-4031
Phone
(787) 892-1398
Fax
(787) 892-1398
NPI assigned
Oct 5, 2006
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 2479 PR Primary

Addresses

Primary practice location

48 Calle Dr Veve
San German, PR 00683-4031

Mailing address

PO Box 24
San German, PR 00683-0024
Phone (787) 892-1398

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
I20160609001764 PR Order and Referring Only - DentistPractitioner - Dentist 7810287463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2479PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1699862458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830024",
            "telephone_number": "787-892-1398",
            "fax_number": "787-892-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CALLE DR VEVE",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834031",
            "telephone_number": "787-892-1398",
            "fax_number": "787-892-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ DE ARELLANO",
        "first_name": "JORGE",
        "middle_name": "L",
        "credential": "DENTISTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "PR",
            "license": "2479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.