Organization Active NPI

Latin Quarter Dental PA

  • Dental Clinic/Center
  • Miami, FL
National Provider Identifier
1609387133
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LATIN QUARTER DENTAL PA
Practice address
1660 SW 1 St
Miami, FL 33135
Phone
(305) 642-8499
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Rodolfo Lea Plaza, DDS
Title
Dr.
Phone
(305) 642-8499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X FL Primary

Addresses

Primary practice location

1660 SW 1 St
Miami, FL 33135

Mailing address

1660 SW 1St St
Miami, FL 33135-2105
Phone (305) 642-8499

Other identifiers 1

IdentifierTypeStateIssuer
DN19240OtherFLLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1609387133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352105",
            "telephone_number": "305-642-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SW 1 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-642-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATIN QUARTER DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "LEA PLAZA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "305-642-8499",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DN19240",
            "state": "FL"
        }
    ],
    "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 Oct 24, 2017; 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.