Yolaivys Valcarcel Fundora

Primary specialty

DentistTaxonomy code 122300000X

License

DN20186 Issued in FL

Practice address

1875 S University Dr
Davie, FL 33324-5805

Phone

(954) 320-9555

NPI assigned

Jun 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Whole Dental Design LLC

  • Dental Clinic/Center
  • Davie, FL
  • NPI 1740757087
  NPD (past) Authorized official
• Dental American Group Corp

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1770688921
  NPD (past)

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1285074112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245805",
            "telephone_number": "954-320-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245805",
            "telephone_number": "954-320-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDORA",
        "first_name": "YOLAIVYS",
        "middle_name": "VALCARCEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Carolina Fugon
• Full Measure LLC
• Full Moon Acupuncture and Healing Arts Center LLC
• Courtney Fullwood
• Julie Fumero
• Vassiliki Prattas Furer, OD
• Colleen Furey, OD
• Jocelyne Gabelus
• Nicoleta Gabrian, APRN
• Virginia Baez Gaddis, LMHC

• Dentist in Davie, FL
• Providers in Davie, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.