Panamerican Dental Clinic PA & Associates

Primary specialty

DentistTaxonomy code 122300000X

License

DN20998 Issued in FL

Legal business name

PANAMERICAN DENTAL CLINIC PA & ASSOCIATES

Practice address

2060 SW 27TH Ave
Miami, FL 33145-2548

Phone

(305) 444-4430

Fax

(305) 885-7767

NPI assigned

May 30, 2013

Last updated

Dec 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marlen Gutierrez, DDS

Title

General Dentist

Phone

(305) 855-7767

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1215374293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452548",
            "telephone_number": "305-444-4430",
            "fax_number": "305-885-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452548",
            "telephone_number": "305-444-4430",
            "fax_number": "305-885-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMERICAN DENTAL CLINIC PA & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARLEN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "305-855-7767",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006330800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Li Wei Pan, MD
• Lian Siugen Pan
• George Michael Panagakos, M.D.
• Patricia De Melo Panakos, M.D.
• Panama Medical Supplies, Inc.
• Panamerican Health Center Inc
• Arvind Vasant Panchoo, M.D.
• Armando Manuel Pancorbo Arencibia, M.D.
• Cristobal Pancorbo Madrigal, CSA
• Dario Pancorbo, MD

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.