Diana De Quesada, D.M.D
Individual provider Active NPI Dentist · Sunny Isles Beach, FL
NPI 1992105688 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1992105688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN20920 (FL)
- Practice address
- 17800 Atlantic Blvd.
Apt. 405
Sunny Isles Beach, FL 33160-2706 - Phone
- (786) 587-2494
- NPI assigned
- Aug 29, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN20920 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gema Memorial Dental | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN20920 | FL | Yes |
Addresses
Primary practice location
17800 Atlantic Blvd.
Apt. 405
Sunny Isles Beach, FL 33160-2706
Mailing address
17800 Atlantic Blvd.
Apt. 405
Sunny Isles Beach, FL 33160-2706
Phone (786) 587-2494
Other providers in Sunny Isles Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.