Yr Collazo DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

YR COLLAZO DMD LLC

Practice address

285 NW 27TH Ave Ste 21
Miami, FL 33125-5134

Phone

(786) 238-7590

Fax

(305) 503-6760

NPI assigned

Oct 22, 2018

Organization subpart

No

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

Authorized official

Name

Yoaris Ramos Collazo, DMD

Title

Owner

Phone

(786) 238-7590

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1649746264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 NW 27TH AVE STE 21",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255134",
            "telephone_number": "786-238-7590",
            "fax_number": "305-503-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 NW 27TH AVE STE 21",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255134",
            "telephone_number": "786-238-7590",
            "fax_number": "305-503-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YR COLLAZO DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS COLLAZO",
        "authorized_official_first_name": "YOARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-238-7590",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.