Organization Active NPI

Montesino Dental Care Center

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1003046350
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN12756 Issued in FL
Legal business name
MONTESINO DENTAL CARE CENTER
Practice address
6847 W 4TH Ave
Hialeah, FL 33014-5337
Phone
(305) 820-0068
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Dr. Alicia Mabella Montesino, D.D.S., P.A.
Title
President
Phone
(305) 820-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN12756 FL Primary

Addresses

Primary practice location

6847 W 4TH Ave
Hialeah, FL 33014-5337

Mailing address

6847 W 4TH Ave
Hialeah, FL 33014-5337
Phone (305) 820-0068

National Provider Directory

National Provider Directory

Locations

6847 W 4th Ave
Hialeah, FL 33014
Phone (305) 820-0068

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1003046350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145337",
            "telephone_number": "305-820-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145337",
            "telephone_number": "305-820-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTESINO DENTAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "MONTESINO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "MABELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-820-0068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.A."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12756",
            "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 Jul 21, 2009; 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.