Individual provider Active NPI

Yurixander Gonzalez Alvarez

  • Dentist
  • Miami, FL
National Provider Identifier
1407581143
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27319 Issued in FL
Practice address
8763 SW 24TH St
Miami, FL 33165-2005
Phone
(305) 900-6574
NPI assigned
Jul 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN27319 FL Primary

Addresses

Primary practice location

8763 SW 24TH St
Miami, FL 33165-2005

Mailing address

1211 Fisherman St
Opa Locka, FL 33054-3624
Phone (512) 621-0732

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
DN27319FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Arts of Broward PA Current Accepting new patients

Locations

3207 N State Road 7
Ste 24
Margate, FL 33063
Phone (954) 655-3551

Networks

  • HealthSun Health Plans Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1407581143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 FISHERMAN ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543624",
            "telephone_number": "512-621-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8763 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652005",
            "telephone_number": "305-900-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ALVAREZ",
        "first_name": "YURIXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.