Organization Active NPI

Estetica Dental Gables,Inc

  • Dentist
  • Coral Gables, FL
National Provider Identifier
1215212782
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19582 Issued in FL
Legal business name
ESTETICA DENTAL GABLES,INC
Practice address
4411 West Flagler St
Coral Gables, FL 33134
Phone
(305) 445-5515
Fax
(305) 445-5518
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Marilyn ValdesNPI 1104103910
Title
Doctor/Owner
Phone
(305) 445-5515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN19582 FL Primary

Addresses

Primary practice location

4411 West Flagler St
Coral Gables, FL 33134

Mailing address

4411 West Flagler St
Coral Gables, FL 33134
Phone (305) 445-5515

National Provider Directory

National Provider Directory

Locations

470 Biltmore Way
Ste 200
Coral Gables, FL 33134
Phone (305) 448-8134

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1215212782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 WEST FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-445-5515",
            "fax_number": "305-445-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 WEST FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-445-5515",
            "fax_number": "305-445-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTETICA DENTAL GABLES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "305-445-5515"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.