Individual provider Active NPI

Ramon Enrique Raffucci Jr., DMD

  • General Practice Dentistry
  • Carolina, PR
National Provider Identifier
1952484743
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1273 Issued in PR
Practice address
KL-5 Fidalgo Diaz Ave.
Villa Fontana
Carolina, PR 00983-0000
Phone
(787) 752-5315
Fax
(787) 752-5315
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1273 PR Primary

Addresses

Primary practice location

KL-5 Fidalgo Diaz Ave.
Villa Fontana
Carolina, PR 00983-0000

Mailing address

Villas de Las Americas
B-15 BZ.50
San Juan, PR 00927-0000
Phone (787) 752-5315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1273PRMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: ramon.raffucci.p1@direct.cchn.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952484743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLAS DE LAS AMERICAS",
            "address_2": "B-15 BZ.50",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009270000",
            "telephone_number": "787-752-5315",
            "fax_number": "787-752-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KL-5 FIDALGO DIAZ AVE.",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009830000",
            "telephone_number": "787-752-5315",
            "fax_number": "787-752-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFUCCI",
        "first_name": "RAMON",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.