Patricia M. Jaquez, DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17593 Issued in FL

Legal business name

PATRICIA M. JAQUEZ, DMD PA

Practice address

12297 Pembroke Rd
Pembroke Pines, FL 33025-1725

Phone

(954) 430-0308

NPI assigned

Jan 28, 2016

Organization subpart

No

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

Authorized official

Name

Patricia M Jaquez, DMDNPI 1013149517

Title

Owner

Phone

(954) 430-0308

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Jaquez, DMD

  • General Practice Dentistry
  • Pembroke Pines, FL
  • NPI 1013149517
  NPD (past) Authorized official
• Mayling I Molina, DDS

  • Dentist
  • Doral, FL
  • NPI 1699820134
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1063879559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12297 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251725",
            "telephone_number": "954-430-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12297 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251725",
            "telephone_number": "954-430-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M. JAQUEZ, DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "JAQUEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-430-0308",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Path Medical, LLC (Path Medical-Pines)
• Pathology Consultants of South Broward, LLP
• Carlos A Patino, MD
• Patricia Gonzalez Templeton D.D.S, LLC
• Patricia Katz,LCSW PA
• Patricia Tanya Wade MD, LLC
• Patricio Therapy
• Patricio Therapy
• Patriot Discount Pharmacy
• Andres Patron, D.O.

• General Practice Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Jan 28, 2016; 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.