Active NPI
Estrella Dental Institute LLC
- Dental Clinic/Center
- Coral Gables, FL
National Provider Identifier
1942077839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ESTRELLA DENTAL INSTITUTE LLC
- Practice address
- 4795 W Flagler St
Coral Gables, FL 33134-1470 - Phone
- (305) 275-0500
- NPI assigned
- Dec 11, 2023
- Last updated
- Dec 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Liscary Fuertes Rufin, DDS
- Title
- Owner
- Phone
- (305) 275-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
4795 W Flagler St
Coral Gables, FL 33134-1470
Mailing address
4795 W Flagler St
Coral Gables, FL 33134-1470
Phone (305) 275-0500
National Provider Directory
National Provider Directory- Tax ID family
- Estrella Dental Institute LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
4795 W Flagler St
Coral Gables, FL 33134
Phone (305) 443-6666
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1942077839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4795 W FLAGLER ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341470",
"telephone_number": "305-275-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4795 W FLAGLER ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341470",
"telephone_number": "305-275-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTRELLA DENTAL INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A",
"authorized_official_last_name": "FUERTES RUFIN",
"authorized_official_first_name": "LISCARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-275-0500",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"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 Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.