Individual provider Active NPI

Darisley Rosabal Guevara, DMD

  • General Practice Dentistry
  • Deerfield Beach, FL
National Provider Identifier
1598441586
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN28190 Issued in FL
Practice address
4020 W Hillsboro Blvd
Deerfield Beach, FL 33442-9416
Phone
(855) 226-6633
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN28190 FL Primary

Addresses

Primary practice location

4020 W Hillsboro Blvd
Deerfield Beach, FL 33442-9416

Mailing address

33 SE 8TH St Apt 612
Boca Raton, FL 33432-6431
Phone (502) 953-3402

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
DN28190FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cano Health, LLC CurrentSince Jun 25, 2023 Accepting new patients

Locations

4020 W Hillsboro Blvd
Deerfield Beach, FL 33442

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1598441586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SE 8TH ST APT 612",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326431",
            "telephone_number": "502-953-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429416",
            "telephone_number": "855-226-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSABAL GUEVARA",
        "first_name": "DARISLEY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.