Promila Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROMILA INC

Practice address

4841 W 4TH Ave
Hialeah, FL 33012-3939

Phone

(305) 558-2261

NPI assigned

Jul 13, 2024

Organization subpart

No

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

Authorized official

Name

Milena Iome De la Providencia GasconNPI 1023742079

Title

Owner/Dentist

Phone

(305) 951-2927

Specialties & licenses 1

Addresses

Practitioners 3

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

• Milena Iome De la Providencia Gascon, DMD

  • General Practice Dentistry
  • Hallandale Beach, FL
  • NPI 1023742079
  NPD Authorized official
• David E. Dewitt, DDS

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1548372139
  NPD (past)
• Raphael Vazana, D.M.D.

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1528170107
  NPD (past)

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1346087533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123939",
            "telephone_number": "305-558-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123939",
            "telephone_number": "305-558-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMILA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "DE LA PROVIDENCIA GASCON",
        "authorized_official_first_name": "MILENA",
        "authorized_official_middle_name": "IOME",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "305-951-2927"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Progressive Rehab Center Corp
• Project Access Foundation Inc
• Promedical Center Hialeah Corp
• Prominent HHA Quality Care Corp
• Promoting Quality Behaviors LLC
• Pronto Medical Center Corp
• Nydia Provedo
• Provider Health Services Inc

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.