Individual provider Active NPI

Rolando Velasco, DMD

  • General Practice Dentistry
  • West Miami, FL
National Provider Identifier
1598967853
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN14494 Issued in FL
Practice address
5757 SW 8TH St
Suite #115
West Miami, FL 33144-5060
Phone
(305) 269-1781
Fax
(305) 262-3033
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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 DN14494 FL Primary

Addresses

Primary practice location

5757 SW 8TH St
Suite #115
West Miami, FL 33144-5060

Mailing address

5757 SW 8TH St
Suite #115
West Miami, FL 33144-5060
Phone (305) 269-1781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323001645 FL Order and Referring Only - DentistPractitioner - DentistPractitioner - General Practice 5496052177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jauregui Dental Care Corp General Practice PastSince Jul 24, 2022 Accepting new patients

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1598967853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 SW 8TH ST",
            "address_2": "SUITE #115",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445060",
            "telephone_number": "305-269-1781",
            "fax_number": "305-262-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 SW 8TH ST",
            "address_2": "SUITE #115",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445060",
            "telephone_number": "305-269-1781",
            "fax_number": "305-262-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "ROLANDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

Verify at the official NPI Registry.