Individual provider Active NPI

Mariela Caballero Lima, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1942740782
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24496 Issued in FL
Practice address
1400 NW 12TH Ave Ste 2005
Miami, FL 33136-1003
Phone
(305) 689-6725
NPI assigned
Feb 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24496 FL Primary

Addresses

Primary practice location

1400 NW 12TH Ave Ste 2005
Miami, FL 33136-1003

Mailing address

1400 NW 12TH Ave Ste 2005
Miami, FL 33136-1003
Phone (305) 689-6725

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606000618 FL Practitioner - DentistPractitioner - Oral Surgery 0648780940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24496FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jun 1, 2025 Accepting new patients
University of Miami CurrentSince Jun 1, 2025 Accepting new patients
University of Miami Current Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1400 NW 12th Ave
#2005
Miami, FL 33136
Phone (305) 689-6725

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1400 NW 12th Ave
Ste 2005
Miami, FL 33136
Phone (305) 243-1960

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1942740782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE STE 2005",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE STE 2005",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO LIMA",
        "first_name": "MARIELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.