Active NPI
Yolanda Iduate Banobre, DMD
- Dentist
- Miami, FL
National Provider Identifier
1598140618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21433
- Practice address
- 10750 SW 38TH Street
Miami, FL 33165 - Phone
- (786) 527-4100
- NPI assigned
- Jul 30, 2015
- Last updated
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN21433 | FL | Primary |
Addresses
Primary practice location
10750 SW 38TH Street
Miami, FL 33165
Mailing address
10750 SW 38TH Street
Miami, FL 33165
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN21433 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1598140618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10750 SW 38TH STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "33165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10750 SW 38TH STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "33165",
"telephone_number": "786-527-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDUATE BANOBRE",
"first_name": "YOLANDA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.