Individual provider Active NPI

Julieta Rosalia Rodriguez Pasto, DMD

  • Dentist
  • Coral Gables, FL
National Provider Identifier
1285019521
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 21497 Issued in FL
Practice address
124 Almeria Ave
Coral Gables, FL 33134
Phone
(305) 442-8481
Fax
(305) 442-4029
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 21497 FL Primary

Addresses

Primary practice location

124 Almeria Ave
Coral Gables, FL 33134

Mailing address

124 Almeria Ave
Coral Gables, FL 33134-6009
Phone (305) 442-8481

Other practice location 1

20 Sidonia Ave Apt 4
Coral Gables, FL 33134-3438
Phone (786) 439-5382

Other identifiers 1

IdentifierTypeStateIssuer
21497OtherFLDN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160509002303 FL Order and Referring Only - DentistPractitioner - Dentist 5294034583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21497FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1285019521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ALMERIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346009",
            "telephone_number": "305-442-8481",
            "fax_number": "305-442-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ALMERIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-442-8481",
            "fax_number": "305-442-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Sidonia Ave Apt 4",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331343438",
            "country_code": "US",
            "telephone_number": "786-439-5382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ PASTO",
        "first_name": "JULIETA",
        "middle_name": "ROSALIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DN",
            "identifier": "21497",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.