Individual provider Active NPI

Sarabel Maria Ruiz-Cestero, D.M.D.

  • Dentist
  • Miami, FL
National Provider Identifier
1992718282
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10385 Issued in FL
Practice address
10300 S.W. 216 Street
Miami, FL 33190
Phone
(305) 278-6434
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10385 FL Primary

Addresses

Primary practice location

10300 S.W. 216 Street
Miami, FL 33190

Mailing address

11807 SW 93Rd Ter
Miami, FL 33186-2170
Phone (305) 279-7456

Other identifiers 1

IdentifierTypeStateIssuer
075799300MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151026001374 FL Order and Referring Only - DentistPractitioner - Dentist 2466761820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10385FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1992718282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 SW 93RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862170",
            "telephone_number": "305-279-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 S.W. 216 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33190",
            "telephone_number": "305-278-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ-CESTERO",
        "first_name": "SARABEL",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "10385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075799300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.