Active NPI
Annette Lastra Perez
- Dentist
- Miami, FL
National Provider Identifier
1942745385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22369
- Practice address
- 2336 SW 122ND CT
Miami, FL 33175-7317 - Phone
- (786) 468-0296
- NPI assigned
- Dec 20, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN22369 | FL | Primary |
Addresses
Primary practice location
2336 SW 122ND CT
Miami, FL 33175-7317
Mailing address
2336 SW 122ND CT
Miami, FL 33175-7317
Phone (786) 468-0296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22369 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1942745385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 SW 122ND CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331757317",
"telephone_number": "786-468-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 SW 122ND CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331757317",
"telephone_number": "786-468-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASTRA PEREZ",
"first_name": "ANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.