OrganizationActive
Miguel Mastache
NPI 1063963668 · Dentist · Tijuana
Miguel Mastache is a Dentist organization in Tijuana (NPI 1063963668).
Provider details
- NPI number
- 1063963668
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Miguel Mastache Guevara, Dentist(664) 685-0560
- License
- 6493848 (ZZ)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
80% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Calle 4a Esquina Ave F 595
Zona Centro
Tijuana, 22000
Phone: (664) 685-0560
Fax: (866) 272-6924
Mailing address
4275 Executive Sq
La Jolla, CA 92037-9123
Other names (DBA / former)
- Doing business as
- Miguel Mastache DDS
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2016-10-18
Frequently asked questions
- What is Miguel Mastache's NPI number?
- Miguel Mastache's National Provider Identifier (NPI) is 1063963668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miguel Mastache?
- Miguel Mastache is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Miguel Mastache located?
- Miguel Mastache's practice location on file with NPPES is Calle 4a Esquina Ave F 595, Tijuana, 22000.
- What is Miguel Mastache's phone number?
- The practice phone number listed in the NPPES registry for Miguel Mastache is (664) 685-0560.
- Who is the authorized official for Miguel Mastache?
- The authorized official listed on Miguel Mastache's NPPES record is Miguel Mastache Guevara, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miguel Mastache's NPI active?
- Yes — Miguel Mastache's NPI (1063963668) is active in the NPPES registry as of the last update on 2016-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.