Provider Demographics
NPI:1679900534
Name:ANA BELKIS CABALLERO DDS PA
Entity type:Organization
Organization Name:ANA BELKIS CABALLERO DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PRACTICE DENTISTRY
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:BELKIS
Authorized Official - Last Name:CABALLERO PINTO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-370-0985
Mailing Address - Street 1:995 SW 84TH AVE
Mailing Address - Street 2:APT 108
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4185
Mailing Address - Country:US
Mailing Address - Phone:786-370-0985
Mailing Address - Fax:
Practice Address - Street 1:383 W 34TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4309
Practice Address - Country:US
Practice Address - Phone:305-823-3312
Practice Address - Fax:305-863-6194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-08
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN203631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty