MEDICARE: HABANA DENTAL CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1841188380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HABANA DENTAL CARE

Provider Business Mailing Address
First Line	:	3728 COLD CREEK DR
Second Line	:
City	:	VALRICO
State	:	FL
Zip	:	33596-6349
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4812 N HABANA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6871
Country	:	US
Telephone Number	:	786-718-6121
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	MANUEL CANO
Credential	:	DDS
Telephone Number	:	786-718-6121

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	06/24/2025

Similar Medicare Providers

1134210719 — R & R RELIEF GROUP,INC.
Practice Location Address:

4812 N HABANA AVE
TAMPA, FL
33614-6871

Practice Phone: 813-514-9588
Practice Fax: 813-514-9654

1942360573 — HUGO RUIZ DDS
Practice Location Address:

4812 N HABANA AVE
TAMPA, FL
33614-6871

Practice Phone: 813-873-0271
Practice Fax: 813-873-2929

1962562405 — CELIA M HERNANDEZ DDS
Practice Location Address:

4812 N HABANA AVE
TAMPA, FL
33614-6871

Practice Phone: 813-873-0271
Practice Fax: 813-873-2929

1346406246 — SLEZAK COLORECTAL SURGICAL CLINIC
Practice Location Address:

4814 N HABANA AVE
TAMPA, FL
33614-6871

Practice Phone: 813-873-2650
Practice Fax: 813-873-2690

1770863110 — CROWN DENTAL, INC.
Practice Location Address:

4812 N HABANA AVE
TAMPA, FL
33614-6871

Practice Phone: 813-873-0271
Practice Fax: 813-873-2929

1174895668 — CARIBE HEALTH CENTER
Practice Location Address:

4812 N HABANA AVE , SUITE A
TAMPA, FL
33614-6871

Practice Phone: 813-873-1392
Practice Fax: 813-873-1394

Directions to “HABANA DENTAL CARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.