Yariela Fleitas Perdomo

Primary specialty

DentistTaxonomy code 122300000X

License

DN21260 Issued in FL

Practice address

432 NW 12TH Ave
Miami, FL 33128-1021

Phone

(305) 326-7159

NPI assigned

Jul 22, 2015

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• FG Dental Solutions LLC

  • Dental Clinic/Center
  • Davie, FL
  • NPI 1346702917
  NPD Authorized official
• Universal Dental Clinic Inc

  • Dental Clinic/Center
  • Miami, FL
  • NPI 1841432234
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1669857462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 FOREST HILL BLVD APT 207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334156202",
            "telephone_number": "786-370-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281021",
            "telephone_number": "305-326-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEITAS PERDOMO",
        "first_name": "YARIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02611900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil H. Fleischer, D.C.
• Dirk Lance Fleischman, D.D.S.
• Fleitas Avance Wound Care LLC
• Yusbel Fleitas Canete
• Marilyn Fleitas Hernandez
• Irma Fleitas Ravelo
• Marylu Fleitas Rodriguez
• Abel Abraham Fleitas, MASSAGE THERAPIST
• Adrian Jordan Fleitas
• Ana Gabriela Fleitas

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.