Active NPI
Leticia Ruiz Maturana
- Dental Assistant
- Homestead, FL
National Provider Identifier
1326418179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 20150624005
- Practice address
- 21380 SW 244TH St
Homestead, FL 33031-3628 - Phone
- (315) 440-7413
- NPI assigned
- Oct 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 20150624005 | FL | Primary |
Addresses
Primary practice location
21380 SW 244TH St
Homestead, FL 33031-3628
Mailing address
21380SW 244 St
Homestead, FL 33031
Phone (315) 440-7413
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20150624005 | FL | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1326418179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21380SW 244 ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "33031",
"telephone_number": "315-440-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21380 SW 244TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330313628",
"telephone_number": "315-440-7413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ MATURANA",
"first_name": "LETICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "FL",
"license": "20150624005",
"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 Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.