Jorge L Ramirez de Arellano, DENTISTA

Individual provider Active NPI Public Health Dentistry · San German, PR

NPI 1699862458 · NPPES record last updated Mar 31, 2025

Key facts

NPI
1699862458
Entity type
Individual (NPI type 1)
Primary specialty
Public Health Dentistry 1223D0001X
License
2479 (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
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160609001764 PR Order and Referring Only - Dentist
Practitioner - Dentist
7810287463

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2479PRMDPharmacist

Specialties & licenses

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

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

Other providers in San German, PR

All providers in San German, PR · Public Health Dentistry in Puerto Rico

Sources for this page

Verify at the official NPI Registry.