Active NPI
Lisbet Soto Menendez, D.M.D.
- Dentist
- Miami, FL
National Provider Identifier
1679915953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 20289
- Practice address
- 3631 SW 87TH Ave
Miami, FL 33165-4307 - Phone
- (305) 219-7379
- NPI assigned
- Jul 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 20289 | FL | Primary |
Addresses
Primary practice location
3631 SW 87TH Ave
Miami, FL 33165-4307
Mailing address
12882 SW 53Rd St
Miami, FL 33175-5416
Phone (305) 219-7379
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN 20289 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1679915953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12882 SW 53RD ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331755416",
"telephone_number": "305-219-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3631 SW 87TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654307",
"telephone_number": "305-219-7379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO MENENDEZ",
"first_name": "LISBET",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 20289",
"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 Jun 6, 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.