Eladio Miguel Traviesas Herrera

Primary specialty

DentistTaxonomy code 122300000X

License

DN22857 Issued in FL

Practice address

4301 Palm Ave Ste F
Hialeah, FL 33012-4060

Phone

(305) 826-8980

NPI assigned

Jun 26, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Palm Avenue Dental

  • Dental Clinic/Center
  • Hialeah, FL
  • NPI 1477442697
  NPD

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992187876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9231 NW 114TH ST APT 3",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184306",
            "telephone_number": "786-458-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 PALM AVE STE F",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124060",
            "telephone_number": "305-826-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIESAS HERRERA",
        "first_name": "ELADIO",
        "middle_name": "MIGUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "traviesasdental@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4301 Palm Ave Ste F",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330124060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• TR Physicians Group LLC
• Ahlicia M. Tramel, LMHC
• Tranquil Retreat, Inc
• Tranquility Home Health Services Inc
• Sheryl Traviesas Garcia, DDS
• Surelys Travieso Diaz, APRN
• Gladys Travieso Quintana
• Carmen Travieso
• Ingriss Travieso, LMT
• Jennifer Travieso

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.