Milena Iome De la Providencia Gascon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27323 Issued in FL

Practice address

701 N Federal Hwy Ste 210
Hallandale Beach, FL 33009-2451

Phone

(305) 951-2927

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Promila Inc

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1346087533
  NPD Authorized official

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1023742079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 85TH ST APT 7",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331414813",
            "telephone_number": "305-951-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N FEDERAL HWY STE 210",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092451",
            "telephone_number": "305-951-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PROVIDENCIA GASCON",
        "first_name": "MILENA",
        "middle_name": "IOME",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "27323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Veronica Daza, M.D.
• Veronica Andreina De Armas, DMD
• Marcia Sobreira De Carvalho, APRN, RN
• Alexander De la Cruz, ARNP
• Jeffrey T De la Cruz
• Juan Carlos De la Torre
• Claudia Liliana De Los Rios
• Andres Alejandro De Novi Diaz
• Christopher Deal
• Janice Rouselle Defelice, D.M.D.

• General Practice Dentistry in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.