Lydia Marin Calimarea DMD,PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN 11781 Issued in FL

Legal business name

LYDIA MARIN CALIMAREA DMD,PA

Practice address

1525 Herbert Street,Suit 101
Poret Orange, FL 32129

Phone

(386) 322-7786

Fax

(386) 761-3920

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lydia Marin Calimarea, DMDNPI 1902814791

Title

Dentist

Phone

(386) 756-9298

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lydia Marin Calimarea, DMD

  • Dentist
  • Prot Orange, FL
  • NPI 1902814791
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831212182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 POCATELLO COURT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32129",
            "telephone_number": "386-756-9298",
            "fax_number": "386-322-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 HERBERT STREET,SUIT 101",
            "city": "PORET ORANGE",
            "state": "FL",
            "postal_code": "32129",
            "telephone_number": "386-322-7786",
            "fax_number": "386-761-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA MARIN CALIMAREA DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALIMAREA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "MARIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "386-756-9298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 11781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.