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NPI Code Detail

MEDICARE: DR. ALBERTO NOGUERA DDS

MEDICARE: DR. ALBERTO NOGUERA 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
11223P0221XPediatric DentistryDN23783FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619206752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERTO NOGUERA DDS
Provider Business Mailing Address
First Line : 12150 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5012
Country : US
Telephone Number : 321-319-7027
Fax Number :
Provider Business Practice Location Address
First Line : 12150 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5012
Country : US
Telephone Number : 321-319-7027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2009
Last Update Date : 02/22/2021

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