Pamela Vanessa Bosque Guevara, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21801 Issued in FL

Practice address

1 Alhambra PLZ Ste 25
Coral Gables, FL 33134-5216

Phone

(786) 507-4440

NPI assigned

Jul 28, 2013

Sex

Female

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bosque DDS LLC

  • Dentist
  • Miami, FL
  • NPI 1396696761
  NPD Authorized official
• Sage Dental of Coral Gables PLLC

  • Dentist
  • Coral Gables, FL
  • NPI 1003362443
  NPD (past)

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1700228020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MICHIGAN AVE APT 307",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331397082",
            "telephone_number": "860-751-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALHAMBRA PLZ STE 25",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345216",
            "telephone_number": "786-507-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSQUE GUEVARA",
        "first_name": "PAMELA",
        "middle_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-28",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "21801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oneida Borisuck, LMT# MA66416
• Daryhen Borjas Garcia, RBT
• Leyla Borrego, ARNP
• Priscilla M Borrego, MD
• Nicola A Bortnik, LMHC
• Isailys Bosque
• Boston Medical Group, Inc.
• Philip Carpenter Boswell, PH.D.
• Sabrina Botros
• Arturo Agustin Boucugnani, P.T.

• General Practice Dentistry in Coral Gables, FL
• Providers in Coral Gables, 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 Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.