Ivette Guillermo DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN15614 Issued in FL

Legal business name

IVETTE GUILLERMO DMD PA

Practice address

10768 SW 24TH St
Miami, FL 33165-2493

Phone

(305) 220-3777

Fax

(305) 220-7845

NPI assigned

Jul 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ivette Guillermo, DMDNPI 1568543916

Title

Dentist

Phone

(305) 220-3777

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Ivette Guillermo, D.M.D.

  • General Practice Dentistry
  • Miami, FL
  • NPI 1568543916
  NPD (past) Authorized official

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1407144512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10768 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652493",
            "telephone_number": "305-220-3777",
            "fax_number": "305-220-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10768 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652493",
            "telephone_number": "305-220-3777",
            "fax_number": "305-220-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVETTE GUILLERMO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "GUILLERMO",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-220-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070891700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Iverson, BS
• Antwanisha Vernya Ivery, MSW
• Ives Dairy Senior Care, Inc.
• Lindsey Ivester, LPC-MHSP
• Ivetmar Medical Center Corp
• Demetria Ivey
• Ivo Medical Services
• Ivon Behavior Service LLC
• Ivonne Garcia
• Ricardo Antonio Ivonnet Galban

• 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 Jul 11, 2011; 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.