Organization Active NPI

Luis Fabelo, DDS, PA

  • Dental Clinic/Center
  • Hialeah, FL
National Provider Identifier
1366258907
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LUIS FABELO, DDS, PA
Practice address
6848 NW 169TH St
Hialeah, FL 33015-4210
Phone
(305) 821-6388
Fax
(305) 821-6429
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Dr. Luis Fabelo, DDSNPI 1508886037
Title
Owner
Phone
(305) 821-6388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6848 NW 169TH St
Hialeah, FL 33015-4210

Mailing address

6848 NW 169TH St
Hialeah, FL 33015-4210
Phone (305) 821-6388

National Provider Directory

National Provider Directory

Locations

6848 NW 169th St
Miami Gardens, FL 33015
Phone (305) 821-6388

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1366258907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 NW 169TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154210",
            "telephone_number": "305-821-6388",
            "fax_number": "305-821-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 NW 169TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154210",
            "telephone_number": "305-821-6388",
            "fax_number": "305-821-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS FABELO, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "FABELO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-821-6388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.