NPIMap

Organization Active NPI

Angelica Cardenas Mansur, D.M.D., P.a.

  • Dentist
  • Homestead, FL
National Provider Identifier
1316149164
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0016290 Issued in FL
Legal business name
ANGELICA CARDENAS MANSUR, D.M.D., P.A.
Practice address
3030 NE 41St Ter
Homestead, FL 33033-6619
Phone
(305) 245-3366
Fax
(305) 246-5200
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Angelica Cardenas-Mansur, D.M.D.,P.A.NPI 1548387806
Title
Dentisit
Phone
(305) 245-3366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN0016290 FL Primary

Addresses

Primary practice location

3030 NE 41St Ter
Homestead, FL 33033-6619

Mailing address

3030 NE 41St Ter
Homestead, FL 33033-6619
Phone (305) 245-3366

National Provider Directory

National Provider Directory

Locations

3030 NE 41st Ter
Homestead, FL 33033
Phone (305) 245-3366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1316149164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NE 41ST TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330336619",
            "telephone_number": "305-245-3366",
            "fax_number": "305-246-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NE 41ST TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330336619",
            "telephone_number": "305-245-3366",
            "fax_number": "305-246-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELICA CARDENAS MANSUR, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "CARDENAS-MANSUR",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "DENTISIT",
        "authorized_official_telephone_number": "305-245-3366",
        "authorized_official_credential": "D.M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0016290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.