Individual provider Active NPI

Maria Rosa Lopez-Galan, DDS

  • General Practice Dentistry
  • Coral Gables, FL
National Provider Identifier
1992917934
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0013113 Issued in FL
Practice address
4689 Ponce de Leon Blvd
Suite 100
Coral Gables, FL 33146-2133
Phone
(305) 665-1655
Fax
(305) 665-3827
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DN0013113 FL Primary

Addresses

Primary practice location

4689 Ponce de Leon Blvd
Suite 100
Coral Gables, FL 33146-2133

Mailing address

2660 SW 110TH Ave
Miami, FL 33165-2382
Phone (305) 223-0018

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
DN0013113FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992917934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 SW 110TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652382",
            "telephone_number": "305-223-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4689 PONCE DE LEON BLVD",
            "address_2": "SUITE 100",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462133",
            "telephone_number": "305-665-1655",
            "fax_number": "305-665-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-GALAN",
        "first_name": "MARIA",
        "middle_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.