Renan Leonardo Buitrago, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20567 Issued in FL

Practice address

2232 N University Dr Ste B
Coral Springs, FL 33071-6184

Phone

(954) 997-5147

NPI assigned

Jun 20, 2008

Last updated

Jan 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Dentistry of Coral Springs

  • Dentist
  • Coral Springs, FL
  • NPI 1609538388

  Prosthodontics

  NPD Authorized official

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1306007547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 N UNIVERSITY DR STE B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716184",
            "telephone_number": "917-574-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 N UNIVERSITY DR STE B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716184",
            "telephone_number": "954-997-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUITRAGO",
        "first_name": "RENAN",
        "middle_name": "LEONARDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20567",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN20567",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "DN014325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Budine, PT
• Allyson Judith Buerosse, APRN
• Anthony E Buford
• Anthony Tuong Bui, D.M.D
• Thao Bui
• Aurelio Antonio Bula, D.M.D.
• Sandra Maria Bula, M.S
• Kayla Bullard
• Bumblebees LLC
• Cindy Bunin

• General Practice Dentistry in Coral Springs, FL
• Providers in Coral Springs, 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 Jan 5, 2022; 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.