Professional Dental Solutions, Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PROFESSIONAL DENTAL SOLUTIONS, INC

Practice address

7900 NW 27 Ave.
#275
Miami, FL 33147

Phone

(305) 693-7988

Fax

(305) 693-6704

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Gertrudis Diaz, DDSNPI 1932248044

Title

Dentist

Phone

(305) 693-7988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

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

• Gertrudis Diaz, DDS

  • Dentist
  • Miami, FL
  • NPI 1932248044
  Medicare reassignment NPD Authorized official
• Lien Perez Garcia, DMD

  • General Practice Dentistry
  • Doral, FL
  • NPI 1003440512
  NPD (past)
• Victor Rodriguez, DDS, CAGS

  • Dentist
  • Doral, FL
  • NPI 1699194092
  NPD (past)
• Luviana Soto, DDS, CAGS

  • Dentist
  • Miami, FL
  • NPI 1508212333
  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1851688303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 NW 27 AVE.",
            "address_2": "#275",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33147",
            "telephone_number": "305-693-7988",
            "fax_number": "305-693-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 27 AVE.",
            "address_2": "#275",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33147",
            "telephone_number": "305-693-7988",
            "fax_number": "305-693-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GERTRUDIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-693-7988",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Dental Alliance of Country Walk Ortho, PLLC
• Professional Dental Alliance of Country Walk, PLLC
• Professional Dental Alliance of West Kendall Ortho, PLLC
• Professional Dental Alliance of West Kendall, PLLC
• Professional Dental Group
• Professional Eyecare Consultants PA
• Professional Group Care Inc.
• Professional Healhcare Management Group, LLC
• Professional Health Alliance LLC
• Professional Health Alliance, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.