Healthcare Provider Details

I. General information

NPI: 1265018238
Provider Name (Legal Business Name): ERIKA CELESTE CUAREZMA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 05/24/2022
Certification Date: 05/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 N UNIVERSITY DR OFC 228
CORAL SPRINGS FL
33065-5121
US

IV. Provider business mailing address

1111 E SUNRISE BLVD UNIT 102
FORT LAUDERDALE FL
33304-2857
US

V. Phone/Fax

Practice location:
  • Phone: 954-710-9509
  • Fax:
Mailing address:
  • Phone: 305-331-9087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN25469
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: