MYRIAM TAVERAS D.M.D P.A


Address: 15810 West Sr 84, Sunrise, FL 33326
Phone: 9543899600

MYRIAM TAVERAS D.M.D P.A (NPI# 1467086272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467086272
Entity Type Organization
Organization Name MYRIAM TAVERAS D.M.D P.A
Practice Address 15810 West Sr 84
Sunrise
FL 33326
Practice Telephone 9543899600
Mailing Telephone 9543899600
Enumeration Date 2020-03-02
Last Update Date 2020-03-02
Authorized Official Name MYRIAM TAVERAS (DENTIST)
Authorized Official Telephone 4076926633
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 1598190852 1598190852 01

Other Provider/Organization Names

Other Name Type Code
WESTGATE DENTAL Doing Business As Name - Organization

Office Location

Street Address 15810 WEST SR 84
City SUNRISE
State FL
Zip Code 33326

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1487036976 Sunshine General Medicine Center Inc Clinic/Center 10242 Nw 47th St, Suite 38, Sunrise, FL 33351-7903 2015-06-22

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Competitor

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City SUNRISE
Zip Code 33326

Improve Information

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Dataset Information

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.

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