Individual provider Active NPI

Maylan Magdalena Rodriguez Orraca, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1780189100
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26409 Issued in FL
Practice address
3850 SW 87TH Ave Ste 204
Miami, FL 33165-5473
Phone
(786) 784-4056
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 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 DN26409 FL Primary

Addresses

Primary practice location

3850 SW 87TH Ave Ste 204
Miami, FL 33165-5473

Mailing address

9417 SW 76TH St Apt X11
Miami, FL 33173-5444

Other practice location 1

9100 SW 24th St Ste 4
Miami, FL 33165-2066
Phone (786) 401-6798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
International Dental Clinic, PA General Practice PastSince Aug 1, 2021 Accepting new patients

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1780189100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9417 SW 76TH ST APT X11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SW 87TH AVE STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655473",
            "telephone_number": "786-784-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 SW 24th St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331652066",
            "country_code": "US",
            "telephone_number": "786-401-6798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ ORRACA",
        "first_name": "MAYLAN",
        "middle_name": "MAGDALENA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.