Pembrokemirodentaloffice

Primary specialty

DentistTaxonomy code 122300000X

License

DN11650 Issued in FL

Legal business name

PEMBROKEMIRODENTALOFFICE

Practice address

12251 Taft St Ste 400
Pembroke Pines, FL 33026-1956

Phone

(954) 436-7699

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Claudio Miro, DDS

Title

Dr

Phone

(305) 273-4334

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1194034777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 TAFT ST STE 400",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261956",
            "telephone_number": "954-436-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 TAFT ST STE 400",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261956",
            "telephone_number": "954-436-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROKEMIRODENTALOFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "MIRO",
        "authorized_official_first_name": "CLAUDIO",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "305-273-4334",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pembroke Pines Therapy Center LLC
• Pembroke Pink Imaging LLC
• Pembroke Smile Center
• Pembroke Village Medical Center Inc
• Pembroke West Diagnostic Imaging Inc
• Elcy L Pena Diaz
• Alejandro Pena Gonzalez, M.D.
• Dayhana Pena Santiago, MD
• Alejandra Del Carmen Pena
• Ashlee Ann Pena, PHARMD

• Dentist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.