Active NPI
Deyanira Rodriguez- Fuente, DMD
- Dentist
- Boynton Beach, FL
National Provider Identifier
1407582711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27118
- Practice address
- 10075 S Jog Rd Ste 200
Boynton Beach, FL 33437-3536 - Phone
- (561) 733-8580
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27118 | FL | Primary |
Addresses
Primary practice location
10075 S Jog Rd Ste 200
Boynton Beach, FL 33437-3536
Mailing address
841 Lyons Rd Apt 24205
Coconut Creek, FL 33063-6730
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27118 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1407582711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 LYONS RD APT 24205",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330636730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10075 S JOG RD STE 200",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373536",
"telephone_number": "561-733-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ- FUENTE",
"first_name": "DEYANIRA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "27118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.