Organization Active NPI

El Buen Samaritano Dental Center

  • Dental Clinic/Center
  • West Miami, FL
National Provider Identifier
1306265897
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN12901 Issued in FL
Legal business name
EL BUEN SAMARITANO DENTAL CENTER
Practice address
1350 SW 57TH Ave
Suite # 104
West Miami, FL 33144-5775
Phone
(305) 545-9453
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Dr. Julio Martin Garcia, D.D.S.
Title
President
Phone
(305) 545-9453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN12901 FL Primary

Addresses

Primary practice location

1350 SW 57TH Ave
Suite # 104
West Miami, FL 33144-5775

Mailing address

1350 SW 57TH Ave
Suite # 104
West Miami, FL 33144-5775

National Provider Directory

National Provider Directory

Locations

1350 SW 57th Ave
Ste 104
West Miami, FL 33144
Phone (305) 545-9453

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1306265897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE",
            "address_2": "SUITE # 104",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE",
            "address_2": "SUITE # 104",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-545-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL BUEN SAMARITANO DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-545-9453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN12901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.