Individual provider Active NPI

Jorge Luis Garaicoa Pazmino, D.D.S.

  • Prosthodontics
  • Plantation, FL
National Provider Identifier
1447583265
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN22299 Issued in FL
Practice address
333 NW 70TH Ave Ste 106
Plantation, FL 33317-2358
Phone
(954) 587-8882
Fax
(954) 587-8882
NPI assigned
Sep 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X DN22299 FL Primary

Addresses

Primary practice location

333 NW 70TH Ave Ste 106
Plantation, FL 33317-2358

Mailing address

333 NW 70TH Ave Ste 106
Plantation, FL 33317-2358
Phone (954) 587-8882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230619001065 FL Order and Referring Only - DentistPractitioner - Dentist 8224496518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22299FLMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1447583265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NW 70TH AVE STE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172358",
            "telephone_number": "954-587-8882",
            "fax_number": "954-587-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NW 70TH AVE STE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172358",
            "telephone_number": "954-587-8882",
            "fax_number": "954-587-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAICOA PAZMINO",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN22299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.