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NPI Code Detail

MEDICARE: ALEJANDRO CARIBAS MENDIBLE DDS

MEDICARE:   ALEJANDRO  CARIBAS MENDIBLE  DDS
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
11223S0112XOral and Maxillofacial Surgery (Dentist)19301FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013204122
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRO CARIBAS MENDIBLE DDS
Provider Business Mailing Address
First Line : 3425 DIAMOND FALLS CIR
Second Line : SUITE 506.
City : LAND O LAKES
State : FL
Zip : 34638-6205
Country : US
Telephone Number : 786-302-6704
Fax Number :
Provider Business Practice Location Address
First Line : 2030 S DOUGLAS RD
Second Line : SUITE 506.
City : CORAL GABLES
State : FL
Zip : 33134-4615
Country : US
Telephone Number : 904-401-2566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2011
Last Update Date : 06/27/2024

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Directions to “ ALEJANDRO CARIBAS MENDIBLE DDS” Practice Location

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