Carlos Rene Fiallo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12693 Issued in FL

Practice address

2828 Coral Way
Suite 430
Coral Gables, FL 33145-3214

Phone

(305) 569-9927

NPI assigned

Apr 4, 2007

Last updated

Dec 22, 2008By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1104948850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 CORAL WAY",
            "address_2": "SUITE 430",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-569-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 CORAL WAY",
            "address_2": "SUITE 430",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453214",
            "telephone_number": "305-569-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALLO",
        "first_name": "CARLOS",
        "middle_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yannier Ferrer Martinez, MD
• Genesis Mariana Ferrer Zavala, MD
• Stephanie Ferrer, ARNP
• Wilber Ferrer
• Natasha Ferrera, APRN
• Gabriel Fidalgo, PT
• Edelle C Field-Fote, PHD, PT
• Stephen Michael Fielding, MD
• Shaina C Fieldstone, PHD
• Fig Health, Inc. (Culina Health)

• General Practice Dentistry in Coral Gables, FL
• Providers in Coral Gables, 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 Dec 22, 2008; 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.