Juan Luis Garrastazu, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN13558 Issued in FL

Practice address

10717 NW 58TH St
Doral, FL 33178

Phone

(305) 513-4058

Fax

(305) 639-2931

NPI assigned

Nov 14, 2006

Sex

Male

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

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.

• Doral Pediatric Dentistry

  • Dentist
  • Miami, FL
  • NPI 1437603446
  NPD Authorized official
• Doral Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Doral, FL
  • NPI 1720202815
  NPD Authorized official
• West Kendall Pediatric Dentistry and Orthodontics

  • Dentist
  • Miami, FL
  • NPI 1861278673
  NPD Authorized official
• Pembroke Pines Pediatric Dentistry

  • Pediatric Dentistry
  • Pembroke Pines, FL
  • NPI 1942424700
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1043382138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782801",
            "telephone_number": "305-513-4058",
            "fax_number": "305-639-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10717 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "305-513-4058",
            "fax_number": "305-639-2931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12311 Taft St",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330264384",
            "country_code": "US",
            "telephone_number": "954-431-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12311 Taft St",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330264384",
            "country_code": "US",
            "telephone_number": "954-431-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRASTAZU",
        "first_name": "JUAN",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira Garcia
• Yanelis Garcia
• Yanin Garcia, AA
• Arys Leyda Gargallo Dominguez
• Manuel Garibay Esparza, BCBA
• Manuel Garrido, DPM
• Rogelio Garrote, D.M.D.
• Jordan Paige Gart, PA-C
• Charlotte Arlett Garzon, D.C.
• Maria Garzon

• Dentist in Doral, FL
• Providers in Doral, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.