Enrique Jose Gallo, D.D.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN-15973 Issued in FL

Practice address

10830 NW 58TH St
Doral, FL 33178-2854

Phone

(786) 845-0800

Fax

(786) 845-0803

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1720273071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782854",
            "telephone_number": "786-845-0800",
            "fax_number": "786-845-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782854",
            "telephone_number": "786-845-0800",
            "fax_number": "786-845-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "ENRIQUE",
        "middle_name": "JOSE",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN-15973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galimed.Inc
• Monica Galindo
• Caridad Mireya Gallardo Pimentel, APRN
• Gerardo Jose Gallardo, BS
• Lucy Rocio Gallegos Lopez, M.D.
• Mercedes Gallor
• Marlix Galue, FNP
• Amber Galvez
• Hector Galvez
• Nataly Galvez

• Orthodontics and Dentofacial Orthopedics Dentistry in Doral, FL
• Providers in Doral, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.