Ramon Jose Borrero Lopez, DMD

Individual provider Active NPI General Practice Dentistry · Yauco, PR

NPI 1891723243 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891723243
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
001926 (PR)
Practice address
54 Calle Mattei Lluberas
Yauco, PR 00698-3633
Phone
(787) 856-1095
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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
I20150722004925 PR Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
6608189451

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
001926PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ramon Borrero Dental Office,PSC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 001926 PR Yes

Addresses

Primary practice location

54 Calle Mattei Lluberas
Yauco, PR 00698-3633

Mailing address

Calle 9 # 105
Urb. El Rosario
Yauco, PR 00698
Phone (787) 267-1782

Other providers in Yauco, PR

All providers in Yauco, PR · General Practice Dentistry in Puerto Rico

Sources for this page

Verify at the official NPI Registry.