Active NPI
Maria Liliana Bernal
- Dentist
- Coral Springs, FL
National Provider Identifier
1154721405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20895
- Practice address
- 2929 N University Dr
Suite 203
Coral Springs, FL 33065-5081 - Phone
- (954) 752-3140
- NPI assigned
- Aug 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 20895 | FL | Primary |
Addresses
Primary practice location
2929 N University Dr
Suite 203
Coral Springs, FL 33065-5081
Mailing address
3803 Tree Top Dr
Weston, FL 33332-2146
Phone (954) 558-7995
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190107000226 | FL | Order and Referring Only - Other (Physician) | 5395081798 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20895 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408752000000",
"number": "1154721405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 TREE TOP DR",
"city": "WESTON",
"state": "FL",
"postal_code": "333322146",
"telephone_number": "954-558-7995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 N UNIVERSITY DR",
"address_2": "SUITE 203",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330655081",
"telephone_number": "954-752-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "MARIA",
"middle_name": "LILIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-23",
"last_updated": "2014-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "20895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; 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.