Organization Active NPI

Doral Modern Dentistry

Doing business as Pemrboke Beautiful Smiles

  • Dental Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1619441516
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DORAL MODERN DENTISTRY
Doing business as
Pemrboke Beautiful Smiles
Practice address
1601 N Flamingo Rd Ste 3
Pembroke Pines, FL 33028-1024
Phone
(786) 488-3009
NPI assigned
Jan 14, 2019
Last updated
Jan 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Dr. Milagritos Rios, DMD
Title
Manager
Phone
(786) 488-3009

Specialties & licenses 1

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

Addresses

Primary practice location

1601 N Flamingo Rd Ste 3
Pembroke Pines, FL 33028-1024

Mailing address

1601 N Flamingo Rd Ste 3
Pembroke Pines, FL 33028-1024
Phone (786) 488-3009

Other names 1

  • PEMRBOKE BEAUTIFUL SMILES Doing business as

National Provider Directory

National Provider Directory

Locations

1601 N Flamingo Rd
Ste 3
Pembroke Pines, FL 33028
Phone (954) 437-7077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1619441516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N FLAMINGO RD STE 3",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281024",
            "telephone_number": "786-488-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N FLAMINGO RD STE 3",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281024",
            "telephone_number": "786-488-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL MODERN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "MILAGRITOS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-488-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEMRBOKE BEAUTIFUL SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.