Active NPI
Andres Cuartas, D.D.S.
- Dentist
- Sweetwater, FL
National Provider Identifier
1124375639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21040
- Practice address
- 2100 NW 107TH Ave # 106
Sweetwater, FL 33172-2510 - Phone
- (305) 882-9260
- NPI assigned
- Aug 14, 2012
- Last updated
- Oct 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN21040 | FL | Primary |
Addresses
Primary practice location
2100 NW 107TH Ave # 106
Sweetwater, FL 33172-2510
Mailing address
2913 NW 97TH CT
Doral, FL 33172-1085
Phone (305) 882-9260
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN21040 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doral Dental Studio, Inc | Current | Accepting new patients |
Locations
2100 NW 107th Ave
Ste 106
Sweetwater, FL 33172
Phone (305) 882-9260
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Sweetwater, FL
- NPI 1164998076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1124375639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2913 NW 97TH CT",
"city": "DORAL",
"state": "FL",
"postal_code": "331721085",
"telephone_number": "305-882-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NW 107TH AVE # 106",
"city": "SWEETWATER",
"state": "FL",
"postal_code": "331722510",
"telephone_number": "305-882-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUARTAS",
"first_name": "ANDRES",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-14",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sweetwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.