NPIMap

Organization Active NPI

Miami Oral Facial Surgery PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
National Provider Identifier
1235444191
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN17503 Issued in FL
Legal business name
MIAMI ORAL FACIAL SURGERY PA
Practice address
1155 Brickell Bay Dr Apt 1103
Miami, FL 33131-2998
Phone
(305) 804-9074
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Teresa LozanoNPI 1316100464
Title
President
Phone
(305) 804-9074

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN17503 FL Primary

Addresses

Primary practice location

1155 Brickell Bay Dr Apt 1103
Miami, FL 33131-2998

Mailing address

1155 Brickell Bay Dr Apt 1103
Miami, FL 33131-2998
Phone (305) 804-9074

National Provider Directory

National Provider Directory

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": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1235444191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 BRICKELL BAY DR APT 1103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312998",
            "telephone_number": "305-804-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 BRICKELL BAY DR APT 1103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312998",
            "telephone_number": "305-804-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI ORAL FACIAL SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-804-9074"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN17503",
            "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 16, 2010; 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.