Organization Active NPI

Raquel a Bravo DMD PA

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1083261119
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RAQUEL A BRAVO DMD PA
Practice address
10511 SW 88TH St Ste C101
Miami, FL 33176-1537
Phone
(786) 507-1551
Fax
(786) 507-1554
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Raquel A Bravo, DMDNPI 1538312525
Title
Owner
Phone
(786) 385-9522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10511 SW 88TH St Ste C101
Miami, FL 33176-1537

Mailing address

10711 SW 27TH St
Miami, FL 33165-2407
Phone (786) 385-9522

National Provider Directory

National Provider Directory
Tax ID family
Raquel a Bravo DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10511 SW 88th St
Ste C101
Miami, FL 33176
Phone (305) 821-3344

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1083261119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 SW 27TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652407",
            "telephone_number": "786-385-9522",
            "fax_number": "786-507-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 SW 88TH ST STE C101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761537",
            "telephone_number": "786-507-1551",
            "fax_number": "786-507-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAQUEL A BRAVO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-385-9522",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.