Andrew Hoseung Ryu, DMD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

35349 Issued in TX

Practice address

3601 NW 107TH Ave
3Rd Floor
Doral, FL 33178

Phone

(305) 418-7771

NPI assigned

Jun 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nicklaus Children'S Hospital

  • Student in an Organized Health Care Education/Training Program
  • Doral, FL
  • NPI 1205648102
  NPD

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1003477399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NW 107TH AVE",
            "address_2": "3RD FLOOR",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "305-418-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NW 107TH AVE",
            "address_2": "3RD FLOOR",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "305-418-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYU",
        "first_name": "ANDREW",
        "middle_name": "HOSEUNG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35349",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "35349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Miguel Rujana Saavedra, M.D.
• Rita Vittoria Rulli
• Rachel Russman
• RX for All Pharmacy Corp
• Ryte Medical Equipment,LLC
• S & G Home Health Care, Inc
• S & Speed Corp
• S & W Medical Services Inc
• S &J Therapy Center Corp
• S FL Supreme Services Corp

• Student in an Organized Health Care Education/Training Program in Doral, FL
• Providers in Doral, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.