Individual provider Active NPI

Pedro M Sanchez, DDS

  • Dentist
  • Hialeah Gardens, FL
National Provider Identifier
1063572535
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN11187 Issued in FL
Practice address
8302 NW 103 Street Suite 206
Integral Dental Care PA
Hialeah Gardens, FL 33016-4698
Phone
(305) 556-9364
Fax
(305) 556-9279
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN11187 FL Primary

Addresses

Primary practice location

8302 NW 103 Street Suite 206
Integral Dental Care PA
Hialeah Gardens, FL 33016-4698

Mailing address

PO Box 160490
8302 NW 103 Street Suite 206
Hialeah Gardens, FL 33016-4698
Phone (305) 556-9364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220000487 FL Practitioner - Dentist 7618301870 Practice locations: Hialeah Gardens, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vilafortuny Salou Medical Center Inc Current Accepting new patients
Integral Dental Care, P.a. Dentist PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063572535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160490",
            "address_2": "8302 NW 103 STREET SUITE 206",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330164698",
            "telephone_number": "305-556-9364",
            "fax_number": "305-556-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 NW 103 STREET SUITE 206",
            "address_2": "INTEGRAL DENTAL CARE PA",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330164698",
            "telephone_number": "305-556-9364",
            "fax_number": "305-556-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "PEDRO",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

Verify at the official NPI Registry.