Organization Active NPI

Latitude Dental

  • General Practice Dentistry
  • Doral, FL
National Provider Identifier
1932585296
Registry record updated Aug 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20061 Issued in FL
Legal business name
LATITUDE DENTAL
Practice address
3650 NW 82ND Ave
Suite 402
Doral, FL 33166-6658
Phone
(787) 237-6813
NPI assigned
Aug 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2015

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

Authorized official

Name
Dr. Yarelie Cruz, D.M.DNPI 1124433305
Title
Manager
Phone
(787) 237-6813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN20061 FL Primary

Addresses

Primary practice location

3650 NW 82ND Ave
Suite 402
Doral, FL 33166-6658

Mailing address

3650 NW 82ND Ave
Suite 402
Doral, FL 33166-6658

National Provider Directory

National Provider Directory

Locations

3650 NW 82nd Ave
Ste 402
Doral, FL 33166
Phone (305) 853-6997

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1439078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439078400000",
    "number": "1932585296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE",
            "address_2": "SUITE 402",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE",
            "address_2": "SUITE 402",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "787-237-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATITUDE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-09",
        "last_updated": "2015-08-09",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "YARELIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-237-6813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2015; 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.