Active NPI
Javier Enrique De la Barca Suarez, DOCTOR OF DENTISTRY
- Dentist
- Hialeah, FL
National Provider Identifier
1285219998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DRPM2274
- Practice address
- 750 E 25TH St
Hialeah, FL 33013-3817 - Phone
- (305) 694-5400
- NPI assigned
- Mar 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | FL | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | DRPM2274 | FL | |
| Dentist | 122300000X | DRPM2274 | FL | Primary |
Addresses
Primary practice location
750 E 25TH St
Hialeah, FL 33013-3817
Mailing address
1341 W 40TH St
Hialeah, FL 33012-4780
Phone (786) 720-0941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37012336 | Other | FL | UNIVERSITY OF FLORIDA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://ufhealth.org | Direct | |
| CONNECT URL | https://ufhealth.org/ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DRPM2274 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Associates, Inc | 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.
-
- General Practice Dentistry
- Hialeah, FL
- NPI 1770537953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620432000000",
"number": "1285219998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 W 40TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124780",
"telephone_number": "786-720-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E 25TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133817",
"telephone_number": "305-694-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA BARCA SUAREZ",
"first_name": "JAVIER",
"middle_name": "ENRIQUE",
"credential": "DOCTOR OF DENTISTRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-15",
"last_updated": "2021-05-08",
"certification_date": "2021-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "DRPM2274",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DRPM2274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY OF FLORIDA",
"identifier": "37012336",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://ufhealth.org",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "750 E 25th St",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330133817",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://ufhealth.org/",
"affiliation": "N",
"address_1": "750 E 25th St",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330133817",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.