Juan Carlos Izquierdo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN25502 Issued in FL

Practice address

2601 SW 37TH Ave Ste 702
Miami, FL 33133-2750

Phone

(305) 446-7277

NPI assigned

Sep 29, 2020

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

Practice roles

Locations

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.

• CG Cosmetic Dental LLC

  • Dental Clinic/Center
  • Miami, FL
  • NPI 1871182881
  NPD Authorized official
• Moderna Smile of Sunset Corp

  • Dental Clinic/Center
  • Miami, FL
  • NPI 1699366641
  NPD (past) Authorized official
• Sunset Dental Corp

  • General Practice Dentistry
  • Miami, FL
  • NPI 1346333085
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1770190209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 702",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332750",
            "telephone_number": "305-446-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 702",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332750",
            "telephone_number": "305-446-7277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13632 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331861567",
            "country_code": "US",
            "telephone_number": "305-385-1442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10728 SW 72nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331732702",
            "country_code": "US",
            "telephone_number": "305-596-7155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8718 SW 72nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733512",
            "country_code": "US",
            "telephone_number": "305-273-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZQUIERDO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidy Lazara Izquierdo, MD
• Ilene Izquierdo, PHARMD
• Isabella Izquierdo, BCBA
• Ivan Izquierdo Sr., DMD
• Jesus Izquierdo, TCM
• Kathleen Frances Izquierdo, APRN
• Lizbet Arianna Izquierdo, RBT
• Madelin Izquierdo, RN
• Maritza Izquierdo, NURSE PRACTITIONER
• Melissa Marinelli Izquierdo, M.S., CCC-SLP

• 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 12, 2021; 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.