Individual provider Active NPI

Sugeily Hernandez Acevedo

  • General Practice Dentistry
  • Margate, FL
National Provider Identifier
1780123851
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23936 Issued in FL
Practice address
3207 N State Road 7 Ste 24
Margate, FL 33063-7008
Phone
(954) 979-1357
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23936 FL Primary

Addresses

Primary practice location

3207 N State Road 7 Ste 24
Margate, FL 33063-7008

Mailing address

33 SE 8TH St Apt 427
Boca Raton, FL 33432-6425
Phone (787) 932-4029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190416002643 NY Order and Referring Only - DentistPractitioner - Dentist 9335480599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23936FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Max'S Dental General Practice PastSince Sep 28, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1780123851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SE 8TH ST APT 427",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326425",
            "telephone_number": "787-932-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 N STATE ROAD 7 STE 24",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330637008",
            "telephone_number": "954-979-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ ACEVEDO",
        "first_name": "SUGEILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "23936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.