Healthcare Provider Details

I. General information

NPI: 1972439362
Provider Name (Legal Business Name): FLAVIA LEAL ROSADO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9331 SW 4TH ST APT 120
MIAMI FL
33174-2229
US

IV. Provider business mailing address

9331 SW 4TH ST APT 120
MIAMI FL
33174-2229
US

V. Phone/Fax

Practice location:
  • Phone: 786-553-7454
  • Fax:
Mailing address:
  • Phone: 786-553-7454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number32024
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: