MIAMI CENTER FOR ORTHODONTICS L.L.C (NPI# 1336551134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336551134 |
| Entity Type | Organization |
| Organization Name | MIAMI CENTER FOR ORTHODONTICS L.L.C |
| Practice Address |
14660 Sw 26th St Miami FL 33175-8065 |
| Practice Telephone | 3052230110 |
| Practice Fax Number | 3052250065 |
| Mailing Telephone | 3052230110 |
| Mailing Fax Number | 3052250065 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |
| Authorized Official Name | DR. ENRIQUE JOSE GALLO (DOCTOR) |
| Authorized Official Telephone | 3052230110 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN 15973 | FL | Dental Providers |
| Street Address |
14660 SW 26TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-8065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902297005 | Mariam N Haroun | Dentist | 20646 Ne 25th Ct, Miami, FL 33180-1332 | 2015-02-10 |
| 1588088645 | Alan D Shoopak Dmd Orthodontic Group Pa | Dentist | 2740 Sw 97th Ave Apt 103, Miami, FL 33165-2682 | 2014-02-10 |
| 1275978629 | Giselle Cabrera | Dentist | 9485 Sw 72nd St Ste A100, Miami, FL 33173-3214 | 2013-04-29 |
| 1548558356 | Greg Ross | Dentist | 7901 Sw 67th Avenune, Suite 207, Miami, FL 33143 | 2011-07-13 |
| 1821308073 | Christian De Jesus | Dentist | 11445 Sw 40th St, Miami, FL 33165-3311 | 2010-10-20 |
| 1407086796 | Simon Orthodontic Centers P.a. | Dentist | 13716 Sw 84th St, Miami, FL 33183-4040 | 2009-07-21 |
| 1609005941 | Francisco J Garcia | Dentist | 11400 N Kendall Dr Ste 105, Miami, FL 33176-1029 | 2009-07-08 |
| 1568628733 | Herbert Murillo | Dentist | 11916 Sw 88th St, Miami, FL 33186-2010 | 2008-08-06 |
| 1245421650 | Darrin Cupo Dmd Pa | Dentist | 19489 South Dixie Highway, Miami, FL 33157-7600 | 2007-08-09 |
| 1619175577 | Byron L Mitchell | Dentist | 4885 Nw 7th Ave, Miami, FL 33127-2303 | 2007-07-03 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.