Palm Avenue Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PALM AVENUE DENTAL

Practice address

4301 Palm Ave Ste F
Hialeah, FL 33012-4060

Phone

(786) 558-4856

Fax

(786) 558-4956

NPI assigned

Jul 1, 2025

Last updated

Jul 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noharys Milian

Title

Manager

Phone

(786) 402-8871

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eladio Miguel Traviesas Herrera

  • Dentist
  • Hialeah, FL
  • NPI 1992187876
  NPD

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1477442697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 PALM AVE STE F",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124060",
            "telephone_number": "786-558-4856",
            "fax_number": "786-558-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 PALM AVE STE F",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124060",
            "telephone_number": "786-558-4856",
            "fax_number": "786-558-4956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4526 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330124034",
            "country_code": "US",
            "telephone_number": "786-600-7560",
            "fax_number": "786-648-5503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALM AVENUE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "MILIAN",
        "authorized_official_first_name": "NOHARYS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-402-8871"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Osniel Palenzuela
• Raydel Palet
• Hector Ivan Pallavicini, M.D.
• Palm Ave Pharmacy Discount
• Palm Ave Pharmacy Discount Corporation (Palm Ave Pharmacy Discount Corp.)
• Palm Avenue Phar,Macy, Inc.
• Palm Dental Center, PA (Palm Center for Dental Specialties)
• Palm Garden II ,Inc.
• Palm Garden II, Inc. (Palm Garden VI)
• Palm Garden Inc/Dbanewhorizonmanor

• Dental Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.