Juan Carlos Buitrago Sr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15378 Issued in FL

Practice address

11399 Overseas Hwy Ste 4
Marathon, FL 33050-3407

Phone

(786) 481-3788

Fax

(305) 767-3545

NPI assigned

Mar 20, 2008

Last updated

Jun 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Solutions the Keys LLC

  • Dental Clinic/Center
  • Marathon, FL
  • NPI 1487270526
  NPD Authorized official

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1700057494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11399 OVERSEAS HWY STE 4",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503407",
            "telephone_number": "781-481-3788",
            "fax_number": "305-767-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11399 OVERSEAS HWY STE 4",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503407",
            "telephone_number": "786-481-3788",
            "fax_number": "305-767-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUITRAGO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Brewer-Storz
• James Brignolo
• Bruce L Boros MD PA (Advanced Urgent Care of the Middle Keys)
• Monica Bruder
• Catherine Elizabeth Budd, A.R.N.P
• Kendahl Simone Burnett, PHARMD
• Scott Michael Burns, MD
• Amber Marie Cabrera
• Shauna Caletka, PT
• Giulia Cammarata, RN

• General Practice Dentistry in Marathon, FL
• Providers in Marathon, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.