NPIMap

Organization Active NPI

Mileides Pena Marro & Associates DMD., PA

Doing business as Pembroke Pines Dental

  • Dentist
  • Pembroke Pines, FL
National Provider Identifier
1023666872
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MILEIDES PENA MARRO & ASSOCIATES DMD., PA
Doing business as
Pembroke Pines Dental
Practice address
8383 Pines Blvd
Pembroke Pines, FL 33024-6607
Phone
(954) 436-8000
NPI assigned
Aug 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Mileidis Pena Marrero, DMD
Title
President
Phone
(954) 436-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8383 Pines Blvd
Pembroke Pines, FL 33024-6607

Mailing address

13195 SW 19TH Ter
Miami, FL 33175-1311
Phone (786) 473-6113

Other names 1

  • Pembroke Pines Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8383 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 436-8000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1023666872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 SW 19TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751311",
            "telephone_number": "786-473-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246607",
            "telephone_number": "954-436-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILEIDES PENA MARRO & ASSOCIATES DMD., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "PENA MARRERO",
        "authorized_official_first_name": "MILEIDIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-436-8000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pembroke Pines Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.