Provider Demographics
NPI:1366097966
Name:ADAMES RAMIREZ, MARY ISABEL (DDS)
Entity type:Individual
Prefix:
First Name:MARY ISABEL
Middle Name:
Last Name:ADAMES RAMIREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MARY ISABEL
Other - Middle Name:
Other - Last Name:ADAMES RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:527 NE 124TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5423
Mailing Address - Country:US
Mailing Address - Phone:305-895-6590
Mailing Address - Fax:305-895-9274
Practice Address - Street 1:527 NE 124TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5423
Practice Address - Country:US
Practice Address - Phone:305-895-6590
Practice Address - Fax:305-895-9274
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-09
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN24477122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist