Individual provider Active NPI

Laura Fernandez Gorrin

  • Dentist
  • Hialeah, FL
National Provider Identifier
1487351292
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30814 Issued in FL
Practice address
7306 W 20TH Ave
Hialeah, FL 33016-1855
Phone
(786) 747-4763
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 30814 FL Primary

Addresses

Primary practice location

7306 W 20TH Ave
Hialeah, FL 33016-1855

Mailing address

1560 W 46TH St Apt 106
Hialeah, FL 33012-7130
Phone (786) 868-4286

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
30814FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Dental Studio Inc CurrentSince Aug 17, 2025 Accepting new patients

Locations

7306 W 20th Ave
Hialeah, FL 33016
Phone (786) 747-4763

Organizations & group practices 1

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1487351292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 W 46TH ST APT 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127130",
            "telephone_number": "786-868-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161855",
            "telephone_number": "786-747-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ GORRIN",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "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": "30814",
            "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 Jul 22, 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.