Individual provider Active NPI

Gabriela Amelia Sangiovanni

  • General Practice Dentistry
  • Coral Gables, FL
National Provider Identifier
1356910863
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26021 Issued in FL
Practice address
290 Alhambra Cir
Coral Gables, FL 33134-5143
Phone
(305) 239-8806
NPI assigned
Jun 19, 2021
Last updated
Jun 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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 26021 FL Primary

Addresses

Primary practice location

290 Alhambra Cir
Coral Gables, FL 33134-5143

Mailing address

10874 SW 152ND PL
Miami, FL 33196-3572
Phone (305) 431-2190

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
26021FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Coral Gables, PA PastSince Jun 27, 2021 Accepting new patients
Care Resource Community Health Centers Inc Past Accepting new patients

Networks

  • HealthSun Health Plans Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gabriela.sangiovanni.p1@direct.careresource.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1356910863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10874 SW 152ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963572",
            "telephone_number": "305-431-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ALHAMBRA CIR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345143",
            "telephone_number": "305-239-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGIOVANNI",
        "first_name": "GABRIELA",
        "middle_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "26021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.