Individual provider Active NPI

Eilyn Rivero Sanes

  • General Practice Dentistry
  • Coral Springs, FL
National Provider Identifier
1316403140
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN25915 Issued in FL
Practice address
5551 N University Dr Ste 203
Coral Springs, FL 33067-4651
Phone
(954) 361-0464
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN25915 FL Primary

Addresses

Primary practice location

5551 N University Dr Ste 203
Coral Springs, FL 33067-4651

Mailing address

4333 Magnolia Ridge Dr
Weston, FL 33331-5000
Phone (772) 777-0732

Other practice location 1

7885 NW 107th Ave Ste 5
Doral, FL 33178-4427
Phone (305) 307-7017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN25915FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Icom Coral Springs LLC CurrentSince Mar 3, 2024 Accepting new patients
Eilyn Rivero DDS PA CurrentSince Jul 28, 2025 Accepting new patients
Faculty Associates, Inc General Practice Past Accepting new patients

Locations

5551 N University Dr
Ste 203
Coral Springs, FL 33067
Phone (954) 361-0464

16210 Indian Trce
Weston, FL 33326
Phone (754) 294-8668

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1316403140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 MAGNOLIA RIDGE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333315000",
            "telephone_number": "772-777-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 N UNIVERSITY DR STE 203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674651",
            "telephone_number": "954-361-0464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7885 NW 107th Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331784427",
            "country_code": "US",
            "telephone_number": "305-307-7017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERO SANES",
        "first_name": "EILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.