Metropolitan Dental Services

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN11432 Issued in FL

Legal business name

METROPOLITAN DENTAL SERVICES

Practice address

6969 SW 24TH St
Miami, FL 33155-1705

Phone

(305) 364-5056

Fax

(305) 364-5061

NPI assigned

Oct 10, 2012

Last updated

Oct 10, 2012By 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

Dr. Elsa Grullon Cortorreal, DDS

Title

President

Phone

(305) 364-5056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1245582600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6969 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551705",
            "telephone_number": "305-364-5056",
            "fax_number": "305-364-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6969 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551705",
            "telephone_number": "305-364-5056",
            "fax_number": "305-364-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "CORTORREAL",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "GRULLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-364-5056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN11432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Medical Equipment and Supply
• Metro Medical Research Center
• Metro Pharmacy & Discount Store Inc (Sedanos Pharmacy #5)
• Metro Transport Services LLC
• Metromed of Miami, Inc
• Metropolitan Health Community Services Corporation (Metropolitan Hospital of Miami)
• Metropolitan Health Services
• Metropolitan Medical Center Inc
• Metropolitan Pharmacy Corp.
• Metta Heaven Home Care LLC

• Dental Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.