Oscar Jesus Peguero Jr., D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN18826 Issued in FL

Practice address

7000 SW 62ND Ave
Penthouse-E
South Miami, FL 33143-4716

Phone

(305) 666-6104

Fax

(305) 665-1136

NPI assigned

Nov 2, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1649506213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE",
            "address_2": "PENTHOUSE-E",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434716",
            "telephone_number": "305-666-6104",
            "fax_number": "305-665-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE",
            "address_2": "PENTHOUSE-E",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434716",
            "telephone_number": "305-666-6104",
            "fax_number": "305-665-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGUERO",
        "first_name": "OSCAR",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN18826",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN1855256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pecans Day Spa Inc.
• Stephanie Pedrayes, DNP
• Denia Pedreira, M.D
• Fred Pedroletti, DMD
• Sergio Luis Peguero Valdes, MD
• Carlos G. Pena, MD
• Adriana Alexandra Penate Armesto, MD
• Noris Peraita, ARNP, FNP B-C
• Alexander Peraza Llanes, MSN, APRN, PMHNP-BC
• Juan Carlos Pereda, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.