Organization Active NPI

Elizabeth de Aguirre DDS PA

  • Dentist
  • Coral Gables, FL
National Provider Identifier
1225316888
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0015008 Issued in FL
Legal business name
ELIZABETH DE AGUIRRE DDS PA
Practice address
475 Biltmore Way Ste 301
Coral Gables, FL 33134-5736
Phone
(305) 446-2226
Fax
(305) 446-8458
NPI assigned
Aug 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Elizabeth Marie Deaguirre, DDS
Title
Dentist/President
Phone
(305) 446-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN0015008 FL Primary

Addresses

Primary practice location

475 Biltmore Way Ste 301
Coral Gables, FL 33134-5736

Mailing address

475 Biltmore Way Ste 301
Coral Gables, FL 33134-5736
Phone (305) 446-2226

Other identifiers 1

IdentifierTypeStateIssuer
001666800MedicaidFL

National Provider Directory

National Provider Directory

Locations

475 Biltmore Way
Ste 301
Coral Gables, FL 33134
Phone (305) 446-2226

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1225316888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BILTMORE WAY STE 301",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345736",
            "telephone_number": "305-446-2226",
            "fax_number": "305-446-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BILTMORE WAY STE 301",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345736",
            "telephone_number": "305-446-2226",
            "fax_number": "305-446-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH DE AGUIRRE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "DEAGUIRRE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "305-446-2226",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0015008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001666800",
            "state": "FL"
        }
    ],
    "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 Aug 1, 2011; 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.