Raynel Sarduy, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN21374 Issued in FL

Practice address

193 Lakeview Dr Apt 202
Weston, FL 33326-2575

Phone

(305) 305-8240

NPI assigned

Aug 3, 2015

Sex

Male

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 FL

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1790161693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 LAKEVIEW DR APT 202",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262575",
            "telephone_number": "305-305-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 LAKEVIEW DR APT 202",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262575",
            "telephone_number": "305-305-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDUY",
        "first_name": "RAYNEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Humberto Santos, M.D.
• Nataly Santos
• Ryan Lee Sappenfield, MD
• Diana Saravia, M.D.
• Gabriela Sardon
• John Paul Rafael Sargent, MD
• Christine Megan Sarkar, LCSW, MSW
• Mauricio Fernando Sarmiento Cobos, MD
• Jose Manuel Sarmiento, M.D.
• Alaina Sarvak, ATC

• Dentist in Weston, FL
• Providers in Weston, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.