Individual provider Active NPI

Pablo R Alvarez, D.D.S.

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1265765655
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 11024 Issued in FL
Practice address
9055 SW 87TH Ave
Suite # 303
Miami, FL 33176-2306
Phone
(305) 270-5505
Fax
(305) 270-0455
NPI assigned
Sep 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 11024 FL Primary

Addresses

Primary practice location

9055 SW 87TH Ave
Suite # 303
Miami, FL 33176-2306

Mailing address

9055 SW 87TH Ave
Suite # 303
Miami, FL 33176-2306
Phone (305) 270-5505

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

LicenseStateTypeSpecialty
DN 11024FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Dentistry Associates LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1265765655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 SW 87TH AVE",
            "address_2": "SUITE # 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762306",
            "telephone_number": "305-270-5505",
            "fax_number": "305-270-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 SW 87TH AVE",
            "address_2": "SUITE # 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762306",
            "telephone_number": "305-270-5505",
            "fax_number": "305-270-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "PABLO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 11024",
            "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 Mar 22, 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.