Active NPI
Pedro Julio Alquizar, DMD, MMSC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Miami, FL
National Provider Identifier
1164689311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN17512
- Practice address
- 2645 S Douglas Rd
Suite 703
Miami, FL 33133-2754 - Phone
- (305) 448-3228
- NPI assigned
- May 16, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN17512 | FL | Primary |
Addresses
Primary practice location
2645 S Douglas Rd
Suite 703
Miami, FL 33133-2754
Mailing address
2461 W 76TH St Apt 101
Hialeah, FL 33016-5672
Phone (305) 975-2405
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 |
|---|---|---|---|
| DN17512 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1164689311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2461 W 76TH ST APT 101",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165672",
"telephone_number": "305-975-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 S DOUGLAS RD",
"address_2": "SUITE 703",
"city": "MIAMI",
"state": "FL",
"postal_code": "331332754",
"telephone_number": "305-448-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALQUIZAR",
"first_name": "PEDRO",
"middle_name": "JULIO",
"name_prefix": "Dr.",
"credential": "DMD, MMSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN17512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.