Liliam De la Noval

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26961 Issued in FL

Practice address

7190 SW 87TH Ave Ste 206
Miami, FL 33173-2512

Phone

(305) 615-8677

NPI assigned

Jun 8, 2022

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1184353757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SW 81ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552527",
            "telephone_number": "305-510-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 SW 87TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732512",
            "telephone_number": "305-615-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA NOVAL",
        "first_name": "LILIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "26961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smileinnovations@bellsouth.net",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7190 SW 87th Ave Ste 206",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331732512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mayte De la Mata
• Sebastian De la Maza, CHILD ADOLESCENT AND
• Berenice E De la Mota, MS, RDN
• Tania De la Noval Rodriguez
• Lienet De la Noval
• De la Nuez Home Care Corp.
• Etienne De la Nuez
• Jany De la Nuez
• Laura De la Nuez, PSY. D.
• Laura Eulalia De la Oliva Gonzalez

• General Practice Dentistry in Miami, FL
• Providers in Miami, 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 Jun 8, 2022; 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.

Verify at the official NPI Registry.