Ricardo Jose Humaran, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20129 Issued in FL

Practice address

15495 Eagle Nest LN Ste 200
Miami Lakes, FL 33014-2255

Phone

(305) 699-3093

Fax

(786) 870-4909

NPI assigned

Jun 13, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484956800000",
    "number": "1104264910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 NW 176TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157153",
            "telephone_number": "786-554-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15495 EAGLE NEST LN STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142255",
            "telephone_number": "305-699-3093",
            "fax_number": "786-870-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMARAN",
        "first_name": "RICARDO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2017-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Health Services Corp
• Homestretch Rehabilitation LLC
• Sabah Hoodbhoy, B.S SLPA
• Reinaldo Horta, D.M.D.
• Kailan Nichole Horton
• Humble Hands Home Care LLC
• Caitlin Morrow Huysman, OTR/L
• Hydravit Health and Wellness LLC
• Hyperdrug Pharmacy & Discount Store Inc
• I.Vizion

• General Practice Dentistry in Miami Lakes, FL
• Providers in Miami Lakes, 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 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.