Patricia Jorge Fornes, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN22714 Issued in FL

Practice address

7550 SW 57TH Ave Ste 214
South Miami, FL 33143-5336

Phone

(305) 667-9860

Fax

(305) 667-9861

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alsmile LLC

  • General Practice Dentistry
  • South Miami, FL
  • NPI 1346089687
  NPD Authorized official
• East Coast Family Dental Lauderdale PA

  • General Practice Dentistry
  • Fort Lauderdale, FL
  • NPI 1053762898
  NPD (past)
• East Coast Family Dental PA

  • General Practice Dentistry
  • Miami, FL
  • NPI 1720325236
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1619407566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 SW 57TH AVE STE 214",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435336",
            "telephone_number": "305-667-9860",
            "fax_number": "305-667-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 SW 57TH AVE STE 214",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435336",
            "telephone_number": "305-667-9860",
            "fax_number": "305-667-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGE FORNES",
        "first_name": "PATRICIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Fabrikant, D.O., P.a.
• Kristen Nicole Jordan, ARNP
• Maureen O Jordan, MD
• Jorge Benito MD PA
• Jorge E. Lievano, M.D., P.a.
• Jose David Suarez MD PA
• Jose Guerra MD & Associates LLC
• Jose I Garri MD DMD PA
• Josefina Lozano, MD, PLLC
• Joseph E Mouhanna MD PA (Miami Pain & Diagnostics)

• Dentist in South Miami, FL
• Providers in South Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.