Luciel Fontelo, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH27278 Issued in FL

Practice address

6350 Sunset Dr
South Miami, FL 33143-4836

Phone

(786) 293-5500

Fax

(786) 293-5508

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1285227306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 216TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33190",
            "telephone_number": "305-253-5100",
            "fax_number": "305-254-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 SUNSET DR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434836",
            "telephone_number": "786-293-5500",
            "fax_number": "786-293-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTELO",
        "first_name": "LUCIEL",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH27278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Folgueira
• Vivien S Fongue Fongue, D.O
• Daniella Louise Fonseca, ARNP
• Doris Fonseca
• Mario J Fonseca, M.D.
• Foot Ankle and Knee MRI LLC
• Forensic and Clinical Psychology Associates, P.a.
• Julie Frederickson Forero, D.O.
• Nicholas McLaury Fort, M.D.
• Patricia Katherine Forzley, NP

• Dental Hygienist in South Miami, FL
• Providers in South Miami, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.