Active NPI
Paola Alejandra Pellerano, DMD
- Pediatric Dentistry
- Aventura, FL
National Provider Identifier
1194152280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN19800
- Practice address
- 19084 NE 29TH Ave
Apt 308
Aventura, FL 33180-2805 - Phone
- (786) 897-9896
- NPI assigned
- Oct 3, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN19800 | FL | Primary |
Addresses
Primary practice location
19084 NE 29TH Ave
Apt 308
Aventura, FL 33180-2805
Mailing address
275 Costanera Rd
Coral Gables, FL 33143-6522
Phone (786) 897-9896
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 |
|---|---|---|---|
| DN19800 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1194152280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 COSTANERA RD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331436522",
"telephone_number": "786-897-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19084 NE 29TH AVE",
"address_2": "APT 308",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802805",
"telephone_number": "786-897-9896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLERANO",
"first_name": "PAOLA",
"middle_name": "ALEJANDRA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN19800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.