Active NPI
Maigrely Abreu-Hernandez, D.M.D.
- Pediatric Dentistry
- Coral Gables, FL
National Provider Identifier
1891993101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN17910
- Practice address
- 5965 Ponce de Leon Blvd.
Coral Gables, FL 33146 - Phone
- (305) 502-3955
- Fax
- (305) 662-2552
- NPI assigned
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN17910 | FL | Primary |
Addresses
Primary practice location
5965 Ponce de Leon Blvd.
Coral Gables, FL 33146
Mailing address
5965 Ponce de Leon Blvd.
Coral Gables, FL 33146
Phone (305) 502-3955
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160215001856 | FL | Order and Referring Only - Other (Physician) | 5294039038 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maigrely Abreu-Hernandez, DMD | Pediatric Dentistry | Past | Accepting new patients |
| Luis M. Llamas, D.D.S, P.a. | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Casa Smiles Pediatric Dentistry and Orthodontics
- Pediatric Dentistry
- Coral Gables, FL
- NPI 1205180445
-
- Pediatric Dentistry
- Coral Gables, FL
- NPI 1114229424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1891993101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5965 PONCE DE LEON BLVD.",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33146",
"telephone_number": "305-502-3955",
"fax_number": "305-662-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5965 PONCE DE LEON BLVD.",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33146",
"telephone_number": "305-502-3955",
"fax_number": "305-662-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABREU-HERNANDEZ",
"first_name": "MAIGRELY",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-08",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN17910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.