Pablo R Prado, DMD, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PABLO R PRADO, DMD, PA

Practice address

6169 S Jog Rd Ste B2
Lake Worth, FL 33467-6514

Phone

(561) 707-1631

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Pablo R Prado, DMDNPI 1104207703

Title

President

Phone

(561) 707-1631

Specialties & licenses 1

Addresses

Other names 1

• Prestige Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pablo Roberto Prado, D.M.D.

  • Dentist
  • Boynton Beach, FL
  • NPI 1104207703
  NPD Authorized official

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1841815479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 COURTNEY CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334721280",
            "telephone_number": "561-707-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S JOG RD STE B2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676514",
            "telephone_number": "561-707-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLO R PRADO, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-707-1631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Ouellette
• Nadege Ovilmar
• P D Lab Inc
• P&M Pharmacy LLC
• P&M Pharmacy, LLC
• Erin Tiffany Pacheco, APRN
• Jeanette Pacheco
• Rosabel Pacheco
• Yesenia Padilla Romero
• James C Padula, D.O.

• Dental Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.