Individual provider Active NPI

Sandra P. Cuartas, DDS

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1003008418
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 18113 Issued in FL
Practice address
6600 W 12TH Ave
Hialeah, FL 33012-6450
Phone
(305) 821-2611
Fax
(305) 556-0746
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 18113 FL Primary

Addresses

Primary practice location

6600 W 12TH Ave
Hialeah, FL 33012-6450

Mailing address

201 Racquet Club Rd Apt N508
Weston, FL 33326-1193
Phone (954) 638-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 18113FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network
  • FL HMO C-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL HMO D-SNP

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1003008418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RACQUET CLUB RD APT N508",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261193",
            "telephone_number": "954-638-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126450",
            "telephone_number": "305-821-2611",
            "fax_number": "305-556-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUARTAS",
        "first_name": "SANDRA",
        "middle_name": "P.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 18113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.