Jorge Roberto Centurion in Miami - Periodontics
Jorge Roberto Centurion - NPI 1942382304
Jorge Roberto Centurion is a Periodontics in Miami, Florida. Jorge Roberto Centurion practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jorge Roberto Centurion is 1942382304. The last update date is 2007-07-08.
Jorge Roberto Centurion's current location address is 8861 Sw 69 Ct, Miami, Florida. You can contact this provider via phone number 3056622216 and fax number 3056636647. The mailing address for Jorge Roberto Centurion is 8861 Sw 69 Ct, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jorge Roberto Centurion |
|---|---|
| Address | 8861 Sw 69 Ct, Miami, Florida |
| Phone Number | 3056622216 |
| Fax Number | 3056636647 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1942382304 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8861 Sw 69 Ct |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 33156 |
| Phone Number | 3056622216 |
| Fax Number | 3056636647 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN10888 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code assigned to Jorge Roberto Centurion by the Centers for Medicare & Medicaid Services?
The Jorge Roberto Centurion has been issued the NPI (National Provider Identifier) 1942382304 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jorge Roberto Centurion's facilities are situated?
The facilities of Jorge Roberto Centurion are physically located at the following address: 8861 Sw 69 Ct, Miami, FL, 33156.
What is the Jorge Roberto Centurion's specialty and taxonomy code?
The Jorge Roberto Centurion's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942382304 to Jorge Roberto Centurion?
The Centers for Medicare & Medicaid Services originally issued the 1942382304 to Jorge Roberto Centurion on 2006-10-19.
As of what date were the Jorge Roberto Centurion's details last updated?
The information pertaining to the Jorge Roberto Centurion, including its address, specialty, and other details, was most recently updated on 2007-07-08.