Individual provider Active NPI

Lilibeth Gomez Flores

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1669152187
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN28321 Issued in FL
Practice address
12001 SW 128TH CT Ste 204
Miami, FL 33186-4666
Phone
(305) 330-9261
NPI assigned
Jul 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN28321 FL Primary

Addresses

Primary practice location

12001 SW 128TH CT Ste 204
Miami, FL 33186-4666

Mailing address

10220 SW 156TH St
Miami, FL 33157-1548
Phone (786) 587-3551

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
DN28321FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Luisa Y. Corrales Iglesias D.D.S, PA. General Practice CurrentSince Sep 23, 2024 Accepting new patients
LGF Dentist, Inc General Practice Current Accepting new patients

Locations

12001 SW 128th Ct
Ste 204
Miami, FL 33186
Phone (305) 330-9261

Networks

  • HealthSun Health Plans 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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1669152187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 SW 156TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571548",
            "telephone_number": "786-587-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864666",
            "telephone_number": "305-330-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ FLORES",
        "first_name": "LILIBETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28321",
            "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 Jul 19, 2023; 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.