Individual provider Active NPI

Alec Julean Medina, DMD

  • General Practice Dentistry
  • Coral Gables, FL
National Provider Identifier
1346084969
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN29103 Issued in FL
Practice address
3934 SW 8TH St Ste 306
Coral Gables, FL 33134-2949
Phone
(786) 391-0588
NPI assigned
Jun 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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 DN29103 FL Primary

Addresses

Primary practice location

3934 SW 8TH St Ste 306
Coral Gables, FL 33134-2949

Mailing address

6830 SW 45TH LN Apt 3
Miami, FL 33155-6823
Phone (786) 516-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801002279 FL Order and Referring Only - DentistPractitioner - Dentist 1759899719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Care Association,Corp CurrentSince Jun 23, 2024 Accepting new patients
Dental Care Association,Corp CurrentSince Jun 23, 2024 Accepting new patients

Locations

9275 SW 152nd St
Ste 106
Palmetto Bay, FL 33157
Phone (305) 233-6575

Organizations & group practices 2

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1346084969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 SW 45TH LN APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556823",
            "telephone_number": "786-516-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 SW 8TH ST STE 306",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342949",
            "telephone_number": "786-391-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ALEC",
        "middle_name": "JULEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.