Provider Demographics
NPI:1174905665
Name:RAMIREZ MARTINEZ, FABIOLA VICTORIA (DMD)
Entity type:Individual
Prefix:
First Name:FABIOLA
Middle Name:VICTORIA
Last Name:RAMIREZ MARTINEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 AVE LUIS MUNOZ MARIN STE 309
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3982
Mailing Address - Country:US
Mailing Address - Phone:787-402-6759
Mailing Address - Fax:
Practice Address - Street 1:50 AVE LUIS MUNOZ MARIN STE 309
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3982
Practice Address - Country:US
Practice Address - Phone:787-746-0363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT123131223P0300X
VT016.01339551223P0300X
MADN18570331223P0300X
PR34211223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics