Jamily Pedro, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN19518 Issued in FL

Practice address

7050 W Palmetto Park Rd Ste 52
Boca Raton, FL 33433-3464

Phone

(561) 394-2592

Fax

(561) 394-3768

NPI assigned

Jan 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jamily Pedro Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Jamily F Pedro , DMD, PA

  • General Practice Dentistry
  • Boca Raton, FL
  • NPI 1245676584
  Authorized official Same address or phone
• Jamily F. Pedro, DMD PA

  dba Aqua Dental Loft

  • General Practice Dentistry
  • Boca Raton, FL
  • NPI 1942633185
  Authorized official Same address or phone

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1144467168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD STE 52",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333464",
            "telephone_number": "561-394-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD STE 52",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333464",
            "telephone_number": "561-394-2592",
            "fax_number": "561-394-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRO",
        "first_name": "JAMILY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "10274",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMILY",
            "last_name": "PEDRO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc
• Leidi Maylan Pedraza Gonzalez, MD
• Diego Pedraza
• Casey Vey Pedro, DMD
• Beverly Joy Pedroche, PSY.D.
• Jasmine Peebles
• Brenda Peete
• Pegasus Medical Supply LLC
• Isiumy Pelaez Vera, SA-C

• Dentist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.