Healthcare Provider Details

I. General information

NPI: 1710803473
Provider Name (Legal Business Name): IVAN ALEJANDRO MAJUGARITEN D.M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 S STATE ROAD 7 STE A
HOLLYWOOD FL
33023-6723
US

IV. Provider business mailing address

7351 HARBOUR BLVD
MIRAMAR FL
33023-6560
US

V. Phone/Fax

Practice location:
  • Phone: 754-802-3574
  • Fax: 754-816-1671
Mailing address:
  • Phone: 786-316-5855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN31784
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: