Active NPI
Ivonne Duarte, DDS
- General Practice Dentistry
- Coral Gables, FL
National Provider Identifier
1952888752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23696
- Practice address
- 114 Mendoza Ave Apt 45
Coral Gables, FL 33134-4082 - Phone
- (305) 965-7606
- NPI assigned
- Jul 24, 2018
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23696 | FL | Primary |
Addresses
Primary practice location
114 Mendoza Ave Apt 45
Coral Gables, FL 33134-4082
Mailing address
114 Mendoza Ave Apt 45
Coral Gables, FL 33134-4082
Phone (305) 965-7606
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 |
|---|---|---|---|
| 23696 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1952888752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 MENDOZA AVE APT 45",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344082",
"telephone_number": "305-965-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 MENDOZA AVE APT 45",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344082",
"telephone_number": "305-965-7606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUARTE",
"first_name": "IVONNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "23696",
"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 Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.