Individual provider Active NPI

Isabel Maria Suate Pedroza, DDS

  • General Practice Dentistry
  • Miramar, FL
National Provider Identifier
1972858751
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 19876 Issued in FL
Practice address
14601 SW 29TH St Ste 201
Miramar, FL 33027-4714
Phone
(954) 500-1050
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 19876 FL Primary

Addresses

Primary practice location

14601 SW 29TH St Ste 201
Miramar, FL 33027-4714

Mailing address

14601 SW 29TH St Ste 201
Miramar, FL 33027-4714
Phone (954) 500-1050

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

LicenseStateTypeSpecialty
DN 19876FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Isabel Suate DDS, P.a. Current Accepting new patients

Locations

14601 SW 29th St
Ste 201
Miramar, FL 33027
Phone (954) 266-3801

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1972858751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 201",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274714",
            "telephone_number": "954-500-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 201",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274714",
            "telephone_number": "954-500-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUATE PEDROZA",
        "first_name": "ISABEL",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.