Individual provider Active NPI

Liliana Alvarez Mesa

  • General Practice Dentistry
  • Miami Springs, FL
National Provider Identifier
1073183422
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN25930 Issued in FL
Practice address
101 Westward Dr
Miami Springs, FL 33166-5211
Phone
(305) 885-1357
Fax
(786) 431-5691
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN25930 FL Primary

Addresses

Primary practice location

101 Westward Dr
Miami Springs, FL 33166-5211

Mailing address

333 S Royal Poinciana Blvd Apt 403
Miami Springs, FL 33166-6130
Phone (305) 546-4863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN25930FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1073183422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S ROYAL POINCIANA BLVD APT 403",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331666130",
            "telephone_number": "305-546-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665211",
            "telephone_number": "305-885-1357",
            "fax_number": "786-431-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ MESA",
        "first_name": "LILIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.