Yaneisy Izquierdo DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN19502 Issued in FL

Legal business name

YANEISY IZQUIERDO DDS PA

Practice address

927 SW 122ND Ave
Miami, FL 33184-2477

Phone

(305) 559-3870

NPI assigned

Nov 13, 2015

Organization subpart

No

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

Authorized official

Name

Yaneisy Izquierdo, DDS

Title

Dentist

Phone

(305) 559-3870

Specialties & licenses 1

Addresses

Other names 1

• SMILE FOR EVER DENTAL CLINIC Doing business as

Locations

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1962876995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842477",
            "telephone_number": "305-559-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842477",
            "telephone_number": "305-559-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANEISY IZQUIERDO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "YANEISY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-559-3870",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE FOR EVER DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rafael Miguel Yanes Diaz, RBT

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.