Active NPI
Gretel Viviana Alvarez Rodriguez, DDS
- Dentist
- Miami, FL
National Provider Identifier
1235807819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26234
- Practice address
- 1250 SW 27TH Ave Ste 203
Miami, FL 33135-4748 - Phone
- (323) 712-0348
- NPI assigned
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 26234 | FL | Primary |
Addresses
Primary practice location
1250 SW 27TH Ave Ste 203
Miami, FL 33135-4748
Mailing address
13120 SW 92ND Ave Apt B-417
Miami, FL 33176-5713
Phone (786) 367-5449
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Miami |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26234 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1235807819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13120 SW 92ND AVE APT B-417",
"city": "MIAMI",
"state": "FL",
"postal_code": "331765713",
"telephone_number": "786-367-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SW 27TH AVE STE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331354748",
"telephone_number": "323-712-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ RODRIGUEZ",
"first_name": "GRETEL",
"middle_name": "VIVIANA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "26234",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Miami",
"affiliation": "N",
"address_1": "1250 SW 27th Ave Ste 203",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331354748",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 31, 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.