Organization Active NPI

Acuario Dental Group Inc.

  • Dental Clinic/Center
  • Hialeah, FL
National Provider Identifier
1417417726
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ACUARIO DENTAL GROUP INC.
Practice address
4355 W 16TH Ave Ste B&205a
Hialeah, FL 33012-7666
Phone
(786) 800-9507
Fax
(305) 928-1147
NPI assigned
Mar 22, 2019
Last updated
Mar 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Jenny M Segarra
Title
President
Phone
(813) 210-0982

Specialties & licenses 1

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

Addresses

Primary practice location

4355 W 16TH Ave Ste B&205a
Hialeah, FL 33012-7666

Mailing address

16547 Forest Lake Dr
Tampa, FL 33624-1204
Phone (813) 210-0982

National Provider Directory

National Provider Directory

Locations

4355 W 16th Ave
Ste B205A
Hialeah, FL 33012
Phone (786) 800-9507

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1417417726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16547 FOREST LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241204",
            "telephone_number": "813-210-0982",
            "fax_number": "305-928-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 W 16TH AVE STE B&205A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127666",
            "telephone_number": "786-800-9507",
            "fax_number": "305-928-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUARIO DENTAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "SEGARRA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-210-0982"
    },
    "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 Mar 22, 2019; 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.