PATRICIA JAQUEZ (NPI# 1013149517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013149517 |
| Entity Type | Individual |
| Full Name | PATRICIA JAQUEZ |
| Credential | DMD |
| Practice Address |
12297 Pembroke Rd Pembroke Pines FL 33025-1725 |
| Practice Telephone | 9544300308 |
| Practice Fax Number | 9544385774 |
| Mailing Telephone | 9544300308 |
| Mailing Fax Number | 9544385774 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN17593 | FL | Dental Providers |
| Street Address |
12297 PEMBROKE RD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33025-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699820134 | Mayling I Molina | Dentist | 12297 Pembroke Rd, Pembroke Pines, FL 33025-1725 | 2007-01-24 |
| 1063879559 | Patricia M. Jaquez, Dmd Pa | Dentist | 12297 Pembroke Rd, Pembroke Pines, FL 33025-1725 | 2016-01-28 |
| 1245417088 | Flamingo Dental Associates | Dentist | 12297 Pembroke Rd, Pembroke Pines, FL 33025-1725 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702329 | Ashley V Carter | Nutritionist | 3803 Sw 93rd Ave, Miramar, FL 33025 | 2019-10-24 |
| 1477024305 | Jeff Rocker | Counselor | 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 | 2018-12-17 |
| 1760959779 | Spring Health Inc | In Home Supportive Care | 1799 Sw 82nd Pl, Miramar, FL 33025 | 2018-10-28 |
| 1649763004 | Ann-marie Elizabeth Pryce | Nurse Practitioner | 8942 Sw 19th St, Miramar, FL 33025 | 2018-06-11 |
| 1588154876 | Michelle Angelle Crawford | Behavior Technician | 10630 Washington St Apt 103, Pembroke Pines, FL 33025 | 2018-05-14 |
| 1598267809 | Lydia Rosa Malcolm | Psychologist | 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 | 2018-03-02 |
| 1447760657 | At Talitha Cumi Home Care, Inc. | Homemaker | 3140 Sw 120 Terr, Miramar, FL 33025 | 2017-10-03 |
| 1962924522 | Yenni Celina Cueto | Behavioral Analyst | 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 | 2017-07-14 |
| 1093236713 | Manoucheca Fabienne Phanord | Nurse Practitioner | 11575 City Hall Promenade, #4-150, Miramar, FL 33025 | 2017-07-03 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| Find all providers in zip 33025 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161594 | Shantall Di Loreto Parra | Dentist | 600 N Hiatus Rd Ste 103, Pembroke Pines, FL 33026-5207 | 2020-07-14 |
| 1831725282 | Annabel Perez Pllc | Dentist | 18450 Pines Blvd Ste 202, Pembroke Pines, FL 33029-1423 | 2020-03-18 |
| 1881243855 | Friedland Family Dentistry | Dentist | 10031 Pines Blvd # W101, Pembroke Pines, FL 33024-6179 | 2019-09-11 |
| 1699337253 | Eduardo Enrique Garcia Perez | Dentist | 17868 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2019-07-03 |
| 1891235321 | Hugo Daniel Pozaicer Uribe | Dentist | 18503 Pines Blvd Ste 208, Pembroke Pines, FL 33029 | 2017-03-02 |
| 1356892467 | Total Dental Centers, Pllc | Dentist | 12169 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2016-10-24 |
| 1316353360 | Dental Choice Mobile Florida LLC | Dentist | 11077 Sw 5th Ct, Pembroke Pines, FL 33025-7025 | 2014-07-09 |
| 1447694799 | Lazcano Family Dental P.a | Dentist | 10051 Pines Blvd Ste C, Pembroke Pines, FL 33024-6172 | 2013-04-17 |
| 1720329766 | Christina Sofia Hernandez | Dentist | 1520 Sw 194th Ter, Pembroke Pines, FL 33029-6160 | 2013-03-14 |
| 1063757912 | Lakes Mall Dental Center, Pa | Dentist | 11401 Pines Blvd Ste 220, Pembroke Pines, FL 33026-4104 | 2012-12-04 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.