NPIMap

Organization Active NPI

Jubidental Services Corp

  • Dentist
  • Coral Gables, FL
National Provider Identifier
1558769794
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20131 Issued in FL
Legal business name
JUBIDENTAL SERVICES CORP
Practice address
299 Alhambra Cir
Suite # 202
Coral Gables, FL 33134-5106
Phone
(305) 444-3074
Fax
(844) 270-7764
NPI assigned
Dec 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Dr. Yanepsi Cotelo-Pardo, DDSNPI 1881986891
Title
Doctor / Owner
Phone
(305) 444-3074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN20131 FL Primary

Addresses

Primary practice location

299 Alhambra Cir
Suite # 202
Coral Gables, FL 33134-5106

Mailing address

299 Alhambra Cir
Suite # 202
Coral Gables, FL 33134-5106
Phone (305) 444-3074

National Provider Directory

National Provider Directory

Locations

299 Alhambra Cir
Ste 202
Coral Gables, FL 33134
Phone (305) 444-3074

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1558769794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 ALHAMBRA CIR",
            "address_2": "SUITE # 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345106",
            "telephone_number": "305-444-3074",
            "fax_number": "844-270-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 ALHAMBRA CIR",
            "address_2": "SUITE # 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345106",
            "telephone_number": "305-444-3074",
            "fax_number": "844-270-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBIDENTAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "COTELO-PARDO",
        "authorized_official_first_name": "YANEPSI",
        "authorized_official_title_or_position": "DOCTOR / OWNER",
        "authorized_official_telephone_number": "305-444-3074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.