Healthcare Provider Details

I. General information

NPI: 1114818820
Provider Name (Legal Business Name): LAUREN SAQUI DMD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SW 27TH AVE
MIAMI FL
33135-1428
US

IV. Provider business mailing address

13841 SW 34TH ST
MIAMI FL
33175-7210
US

V. Phone/Fax

Practice location:
  • Phone: 305-642-5366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN30425
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: