Leydy Toribio Fabelo, DMD

Key facts

NPI

1033639554

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

22695 (FL)

Practice address

10457 SW 40TH St
Miami, FL 33165-3753

Phone

(305) 747-7253

NPI assigned

Jun 26, 2017

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Networks

• Freedom Health HMO Network

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2017.

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1033639554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 W 73RD PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165423",
            "telephone_number": "786-663-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10457 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653753",
            "telephone_number": "305-747-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORIBIO FABELO",
        "first_name": "LEYDY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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