Luis O Fabelo, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15144 Issued in FL

Practice address

6848 NW 169TH St
Hialeah, FL 33015-4210

Phone

(305) 821-6388

Fax

(305) 821-6429

NPI assigned

Jul 20, 2006

Last updated

Oct 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luis Fabelo, DDS, PA

  • Dental Clinic/Center
  • Hialeah, FL
  • NPI 1366258907
  NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1508886037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 NW 169TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154210",
            "telephone_number": "305-821-6388",
            "fax_number": "305-821-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 NW 169TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154210",
            "telephone_number": "305-821-6388",
            "fax_number": "305-821-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABELO",
        "first_name": "LUIS",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "15144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ezy Wellness, LLC
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• F.B.a. Diagnostic Center, Inc.
• Fabconsulting1Corp (humanbalancewellnesscenter)
• Margarita Fabelo, ARNP
• Enrique Fabre, LMT MA30924
• Aylin Fabregas Chico
• Faculty Associates, Inc
• Michael Fagien, M.D.

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, 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 Oct 9, 2013; 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.