Luciel Fontelo, Rdh
Dental Hygienist in South Miami, FL. Individual provider (NPI-1).
NPI number1285227306
StatusActive
Last updated in NPPESFeb 19, 2021
Details
- NPI
- 1285227306
- Entity type
- Individual (NPI-1)
- Name
- Luciel Fontelo
- Credential
- Rdh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2021
- Certification date
- Feb 19, 2021
- Last updated
- Feb 19, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | DH27278 | FL | Yes |
Practice location
6350 Sunset DrSouth Miami, FL 33143-4836
Phone 786-293-5500 · Fax 786-293-5508
Mailing address
10300 Sw 216th StMiami, FL 33190
Phone 305-253-5100 · Fax 305-254-4901
Is something wrong?
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Other Dental Hygienist providers in South Miami, FL
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