Individual provider Active NPI

Cesar L Palomeque, D.M.D.

  • Dentist
  • Miami, FL
National Provider Identifier
1093033896
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN11333 Issued in FL
Practice address
1111 SW 8TH St
Suite 211
Miami, FL 33130-3639
Phone
(305) 856-9837
Fax
(305) 856-9180
NPI assigned
May 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN11333 FL Primary

Addresses

Primary practice location

1111 SW 8TH St
Suite 211
Miami, FL 33130-3639

Mailing address

1111 SW 8TH St
Suite 211
Miami, FL 33130-3639
Phone (305) 856-9837

Other identifiers 1

IdentifierTypeStateIssuer
072512900MedicaidFL

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
DN11333FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1093033896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SW 8TH ST",
            "address_2": "SUITE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303639",
            "telephone_number": "305-856-9837",
            "fax_number": "305-856-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SW 8TH ST",
            "address_2": "SUITE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303639",
            "telephone_number": "305-856-9837",
            "fax_number": "305-856-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMEQUE",
        "first_name": "CESAR",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072512900",
            "state": "FL"
        }
    ],
    "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 May 4, 2010; 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.