Individual provider Active NPI

Milagritos Rios Ku Hop, D.M.D

  • Dentist
  • Doral, FL
National Provider Identifier
1003298522
Registry record updated Jun 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21244 Issued in FL
Practice address
9915 Costa del Sol Blvd
Doral, FL 33178-2358
Phone
(786) 488-3009
NPI assigned
Jun 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21244 FL Primary

Addresses

Primary practice location

9915 Costa del Sol Blvd
Doral, FL 33178-2358

Mailing address

9915 Costa del Sol Blvd
Doral, FL 33178-2358
Phone (786) 488-3009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160630002267 FL Order and Referring Only - DentistPractitioner - Dentist 7810289303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21244FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Modern Dentistry Current Accepting new patients
TLC Dental Coral Springs, LLC PastSince Oct 13, 2017 Accepting new patients

Locations

1601 N Flamingo Rd
Ste 3
Pembroke Pines, FL 33028
Phone (786) 488-3009

Networks

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434758400000",
    "number": "1003298522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 COSTA DEL SOL BLVD",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782358",
            "telephone_number": "786-488-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 COSTA DEL SOL BLVD",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782358",
            "telephone_number": "786-488-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS KU HOP",
        "first_name": "MILAGRITOS",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-20",
        "last_updated": "2015-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.