Provider Demographics
NPI:1841786662
Name:RAMOS COSTALES, ALVARO ANDRES (DDS)
Entity type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:ANDRES
Last Name:RAMOS COSTALES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 DRUID ISLE RD
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4224
Mailing Address - Country:US
Mailing Address - Phone:305-924-3201
Mailing Address - Fax:
Practice Address - Street 1:707 PENNSYLVANIA AVE STE 1100
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-6471
Practice Address - Country:US
Practice Address - Phone:407-478-4960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-04
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN282711223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics