Meyleen Izquierdo, D.M.D

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN19086 Issued in FL

Practice address

1 Alhambra PLZ
Coral Gables, FL 33134-5216

Phone

(786) 507-4440

NPI assigned

Jul 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pearly White Dental, Inc.

  • Periodontics
  • Weston, FL
  • NPI 1720710072
  NPD Authorized official

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1437462140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALHAMBRA PLZ",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALHAMBRA PLZ",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345216",
            "telephone_number": "786-507-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4623 Forest Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334157469",
            "country_code": "US",
            "telephone_number": "561-965-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZQUIERDO",
        "first_name": "MEYLEEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19086",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN19086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayme Izquierdo Suarez, RBT
• Carlos Julio Izquierdo, LDO
• Dayalin Izquierdo, BCBA
• Maria Milagros Izquierdo, BEHAVIOR TECHNICIAN
• Melissa Kristina Izquierdo, MS CCC SLP
• J a Miguelez
• J.C.Machado, Jr.M.D.,P.a.
• J&a Family Behavior LLC
• Kyle Jackman
• Adam David Jacobowitz, MD

• Periodontics in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.