Miramar Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12110 Issued in FL

Legal business name

MIRAMAR DENTAL CENTER

Practice address

11904 Miramar Pkwy
Miramar, FL 33025-7005

Phone

(954) 639-7560

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Roy Perez, DDS

Title

President

Phone

(954) 639-7560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1275852683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11904 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257005",
            "telephone_number": "954-639-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11904 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257005",
            "telephone_number": "954-639-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-639-7560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minuteclinic Primary Care Florida LLC
• Alejandro Mir Vidal, RBT
• Karen Mirabal Pallerols
• Miramar Adult Day Care LLC
• Miramar Community and Behavioral Services Corp
• Miramar Dialysis Center LLC (Miramar Kidney Center)
• Miramar Ekg Readers
• Miramar Eye Center LLC
• Miramar Family Dentistry
• Miramar Medical Center (Adrian Sagman DC, PA)

• General Practice Dentistry in Miramar, FL
• Providers in Miramar, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.