Karim Rossina Revoredo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN20428 Issued in FL

Practice address

1878 SW 57TH Ave
Miami, FL 33155

Phone

(305) 262-9299

Fax

(305) 262-8772

NPI assigned

Jul 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Smiles Tampa Dental Care Inc

  • Dental Clinic/Center
  • Tampa, FL
  • NPI 1598500688
  NPD Authorized official
• Perkadent Corp.

  • General Practice Dentistry
  • Miami, FL
  • NPI 1871948794
  NPD (past) Authorized official
• Georgina Mesa D.M.D., P.a.

  • Dentist
  • Miami, FL
  • NPI 1770997876
  NPD (past)

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1366730384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 ASTURIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344735",
            "telephone_number": "786-238-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-262-9299",
            "fax_number": "305-262-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVOREDO",
        "first_name": "KARIM",
        "middle_name": "ROSSINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revival Orthopaedics Inc
• Revive Health Center, Inc.
• Revline Billing Solutions LLC
• Lesyani Anaisa Revolta Carrero
• Dominique Revolus
• Karinna Fernandes Revoredo, CRNA
• Maria Revoredo
• Susana Maria Revuelta Garcia
• Logan Rex
• Sinai Rey Consuegra, DMD

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.