Active NPI
Laura V Bueno Diaz, D.D.S.
- General Practice Dentistry
- Miami, FL
National Provider Identifier
1205926771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN0012660
- Practice address
- 9995 SW 72ND St
Suite # 207
Miami, FL 33173-4662 - Phone
- (305) 596-2335
- Fax
- (305) 596-6938
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN0012660 | FL | Primary |
Addresses
Primary practice location
9995 SW 72ND St
Suite # 207
Miami, FL 33173-4662
Mailing address
9995 SW 72ND St
Suite # 207
Miami, FL 33173-4662
Phone (305) 596-2335
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 |
|---|---|---|---|
| DN0012660 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1205926771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9995 SW 72ND ST",
"address_2": "SUITE # 207",
"city": "MIAMI",
"state": "FL",
"postal_code": "331734662",
"telephone_number": "305-596-2335",
"fax_number": "305-596-6938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9995 SW 72ND ST",
"address_2": "SUITE # 207",
"city": "MIAMI",
"state": "FL",
"postal_code": "331734662",
"telephone_number": "305-596-2335",
"fax_number": "305-596-6938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENO DIAZ",
"first_name": "LAURA",
"middle_name": "V",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN0012660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Buena Vista Vision Club, Inc
- Buenaventura Comunity Mental Health Inc (Buenaventura CMH Inc)
- Buenaventura Medical Center Inc
- Daniela Bueno Arenas
- Esther Marie Bueno Diaz, M.D.
- Abel Bueno Gonzalez, PMHNP
- Dagoberto Bueno Martin
- Michel Bueno Noa, MD
- Carlos Harold Bueno Rangel
- Jeniffer De la Caridad Bueno Sanchez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.