Individual provider Active NPI

Susel Alvarez Fleites, DMD

  • Dentist
  • West Miami, FL
National Provider Identifier
1508476078
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25215 Issued in FL
Practice address
6320 SW 8TH St Apt 436
West Miami, FL 33144-4870
Phone
(786) 803-1186
NPI assigned
Aug 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25215 FL Primary

Addresses

Primary practice location

6320 SW 8TH St Apt 436
West Miami, FL 33144-4870

Mailing address

6320 SW 8TH St Apt 436
West Miami, FL 33144-4870
Phone (786) 803-1186

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL home Health Information Exchange (HIE)

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
25215FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1508476078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 SW 8TH ST APT 436",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444870",
            "telephone_number": "786-803-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SW 8TH ST APT 436",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444870",
            "telephone_number": "786-803-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ FLEITES",
        "first_name": "SUSEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "home",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6320 SW 8th St Apt 436",
            "city": "West Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331444870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.