Active NPI
Jorge Luis Casanas Marrero, DMD
- General Practice Dentistry
- Coral Gables, FL
National Provider Identifier
1952194219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30277
- Practice address
- 747 Ponce de Leon Blvd Ste 401
Coral Gables, FL 33134-2073 - Phone
- (786) 227-0873
- NPI assigned
- May 28, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30277 | FL | Primary |
Addresses
Primary practice location
747 Ponce de Leon Blvd Ste 401
Coral Gables, FL 33134-2073
Mailing address
13105 SW 248TH St Apt 202
Homestead, FL 33032-6055
Phone (786) 227-0873
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 |
|---|---|---|---|
| 30277 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1952194219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13105 SW 248TH ST APT 202",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330326055",
"telephone_number": "786-227-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 PONCE DE LEON BLVD STE 401",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342073",
"telephone_number": "786-227-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASANAS MARRERO",
"first_name": "JORGE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "30277",
"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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.