SOUTH MIAMI DENTAL SERVICE PA NPI 1104274471

NPI Information

  • NPI: 1104274471
  • Provider Name: SOUTH MIAMI DENTAL SERVICE PA
  • Classification: Health Maintenance Organization - 302R00000X
  • Entity Type: Organization
  • Doing Business As: ILLUSTRADENT KEY BISCAYNE
  • Address: 240 CRANDON BLVD
    SUITE 104
    KEY BISCAYNE, FL
    ZIP 33149
  • Phone: (305) 361-0351

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NPI Details

SOUTH MIAMI DENTAL SERVICE PA is a health maintenance organization in Key Biscayne, FL. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. SOUTH MIAMI DENTAL SERVICE PA NPI is 1104274471. The provider is registered as an organization entity type.
The provider Is Doing Business As Illustradent Key Biscayne.

The provider's business location address is:

240 CRANDON BLVD
SUITE 104
KEY BISCAYNE, FL
ZIP 33149
Phone: (305) 361-0351
Fax: (305) 361-2180

The provider's authorized official is Mayra V Perez .
The authorized official title is Admnistrator and has the following contact phone number (305) 361-5493.

The enumeration date for this NPI number is 5/27/2016 and was last updated on 5/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302R00000XHealth Maintenance OrganizationDN18909FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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