Liscary Fuertes Rufin

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22865 Issued in FL

Practice address

8832 NW 150TH St
Miami Lakes, FL 33018-1317

Phone

(305) 873-9537

NPI assigned

Jun 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497137798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8832 NW 150 ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "305-873-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8832 NW 150TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330181317",
            "telephone_number": "305-873-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERTES RUFIN",
        "first_name": "LISCARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Fuentes Suarez
• Anabel Fuentes Urquiza
• Tomas M. Fuentes-Sanz, PA-C
• Haydee Fuentes, LMHC
• Yunet Fuentes, ARNP
• Gretta Fumero Sanin
• Kevin Fumero, RBT
• Fundamentals Therapy Group Corp
• Future Health Medical Services Corp
• Future Health Medical Services Corp

• General Practice Dentistry in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.