Organization Active NPI

Centro Dental Iberoamericano

  • Dentist
  • Miami, FL
National Provider Identifier
1215135298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CENTRO DENTAL IBEROAMERICANO
Practice address
807 SW 25TH Ave
Suite 212
Miami, FL 33135-4873
Phone
(305) 649-6723
NPI assigned
Jul 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rafael Vera, D.D.S
Title
Owner
Phone
(305) 649-6723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

807 SW 25TH Ave
Suite 212
Miami, FL 33135-4873

Mailing address

807 SW 25TH Ave
Suite 212
Miami, FL 33135-4873
Phone (305) 649-6723

National Provider Directory

National Provider Directory

Locations

807 SW 25th Ave
Ste 212
Miami, FL 33135
Phone (305) 649-6723

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215135298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SW 25TH AVE",
            "address_2": "SUITE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354873",
            "telephone_number": "305-649-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SW 25TH AVE",
            "address_2": "SUITE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354873",
            "telephone_number": "305-649-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DENTAL IBEROAMERICANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-649-6723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.