Individual provider Active NPI

Tatiana Hilda Reino Agosto

  • Dentist
  • Miami, FL
National Provider Identifier
1619468519
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN-25258 Issued in FL
Practice address
1199 W Flagler St Ste 7
Miami, FL 33130-1055
Phone
(305) 324-5072
Fax
(305) 403-2981
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN-25258 FL Primary

Addresses

Primary practice location

1199 W Flagler St Ste 7
Miami, FL 33130-1055

Mailing address

306 Calle 22
San Juan, PR 00927-5206
Phone (787) 413-1296

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
DN-25258FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tatiana H Reino Agosto DDS PA Current Accepting new patients
Flagler Dental Care PastSince Sep 13, 2020 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1619468519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CALLE 22",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275206",
            "telephone_number": "787-413-1296",
            "fax_number": "787-413-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 W FLAGLER ST STE 7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301055",
            "telephone_number": "305-324-5072",
            "fax_number": "305-403-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINO AGOSTO",
        "first_name": "TATIANA",
        "middle_name": "HILDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN-25258",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 8, 2020; 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.