Organization Active NPI

Fuertes International Dental Inc

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1306426168
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FUERTES INTERNATIONAL DENTAL INC
Practice address
9210 SW 72ND St Ste 103
Miami, FL 33173-3274
Phone
(305) 275-0500
Fax
(888) 622-0443
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Liscary Fuertes Rufin, DDS
Title
Dentist
Phone
(305) 275-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9210 SW 72ND St Ste 103
Miami, FL 33173-3274

Mailing address

9210 SW 72ND St Ste 103
Miami, FL 33173-3274
Phone (305) 275-0500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1306426168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 SW 72ND ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733274",
            "telephone_number": "305-275-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 SW 72ND ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733274",
            "telephone_number": "305-275-0500",
            "fax_number": "888-622-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUERTES INTERNATIONAL DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "FUERTES RUFIN",
        "authorized_official_first_name": "LISCARY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-275-0500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.