Individual provider Active NPI

Ivonne E Esteva Benabe

  • Dentist
  • Hialeah, FL
National Provider Identifier
1487320032
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26468 Issued in FL
Practice address
820 E 41St St Ste 202
Hialeah, FL 33013-2463
Phone
(305) 836-3635
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 26468 FL Primary

Addresses

Primary practice location

820 E 41St St Ste 202
Hialeah, FL 33013-2463

Mailing address

6470 Main St Apt 101
Miami Lakes, FL 33014-2262
Phone (787) 420-1397

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

LicenseStateTypeSpecialty
26468FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance and General Dental CurrentSince Nov 9, 2021 Accepting new patients
Carmen Ramirez D.D.S., P.a. PastSince Nov 9, 2021 Accepting new patients

Locations

820 E 41st St
Ste 202
Hialeah, FL 33013
Phone (305) 836-3635

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1487320032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 MAIN ST APT 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142262",
            "telephone_number": "787-420-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E 41ST ST STE 202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132463",
            "telephone_number": "305-836-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEVA BENABE",
        "first_name": "IVONNE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "26468",
            "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 Feb 4, 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.

Verify at the official NPI Registry.