Yusimy Pupo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17069 Issued in FL

Practice address

1491 E 4TH Ave
Hialeah, FL 33010-3527

Phone

(305) 888-8260

Fax

(305) 888-5531

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Pupo Dental, Inc

  • Dental Clinic/Center
  • Plantation, FL
  • NPI 1629791553
  NPD Authorized official
• Fausto Nicieza D.M.D.,P.a.

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1467642470
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962604835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18177 SW 4TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294350",
            "telephone_number": "305-888-8260",
            "fax_number": "305-888-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103527",
            "telephone_number": "305-888-8260",
            "fax_number": "305-888-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPO",
        "first_name": "YUSIMY",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaneixi Pupo Padilla, BCBA
• Tatiana Pupo Rondon
• Ania Pupo, RBT
• Damiana Del Carmen Pupo
• Dulce Pupo, LCSW
• Pura Vida Adult Day Care Inc
• Pura Vida Medical Center, LLC
• Pura Vida Medical Center, LLC
• Zsanett Purszki, AP
• Puzzle Builders Behavioral Therapy

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.