DORAL MODERN DENTISTRY (NPI# 1619441516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619441516 |
| Entity Type | Organization |
| Organization Name | DORAL MODERN DENTISTRY |
| Practice Address |
1601 N Flamingo Rd Ste 3 Pembroke Pines FL 33028-1024 |
| Practice Telephone | 7864883009 |
| Mailing Telephone | 7864883009 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Authorized Official Name | DR. MILAGRITOS RIOS (MANAGER) |
| Authorized Official Telephone | 7864883009 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PEMRBOKE BEAUTIFUL SMILES | Doing Business As Name - Organization |
| Street Address |
1601 N FLAMINGO RD STE 3 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312730 | Rocent Dental Care, Inc. | Clinic/Center | 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 | 2020-09-25 |
| 1659936656 | Pembroke Dental & Spa Pl | Clinic/Center | 15671 Pines Blvd, Pembroke Pines, FL 33027-1204 | 2019-05-06 |
| 1902382815 | Gentle Teeth of Pembroke Pines | Clinic/Center | 12251 Taft St Ste 301, Pembroke Pines, FL 33026-1956 | 2018-07-13 |
| 1154814143 | Boulevard Dental Associates, LLC | Clinic/Center | 10794 Pines Blvd Ste 204, Pembroke Pines, FL 33026-3920 | 2018-06-13 |
| 1063879641 | Liliam Hernandez Dmd Pa | Clinic/Center | 18253 Sw 5th St, Pembroke Pines, FL 33029-4310 | 2016-01-27 |
| 1376937185 | Dental Boost Pines, LLC | Clinic/Center | 240 S Flamingo Rd, Pembroke Pines, FL 33027-1721 | 2015-03-19 |
| 1841816923 | Vanessa Freitas, Dds P.a. | Clinic/Center | 17901 Nw 5th St Ste 202, Pembroke Pines, FL 33029-2810 | 2020-06-24 |
| 1912559949 | Precise Smiles Dentistry Inc | Clinic/Center | 1724 N University Dr, Pembroke Pines, FL 33024-3602 | 2019-07-10 |
| 1164668547 | My Dentist for Life, P.a. | Clinic/Center | 294 Nw 172nd Ave, Pembroke Pines, FL 33029-3196 | 2009-01-06 |
| 1922252386 | Endodontics Unlimited Pa | Clinic/Center | 2221 N University Dr, Suite D, Pembroke Pines, FL 33024-3603 | 2008-11-12 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
Please comment or provide details below to improve the information on DORAL MODERN DENTISTRY.
| 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.