OrganizationActive
South Miami Dental Service PA
NPI 1104274471 · Health Maintenance Organization · Key Biscayne, FL
Provider details
- NPI number
- 1104274471
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Mayra Perez, Admnistrator(305) 361-5493
- License
- DN18909 (FL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% 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
240 Crandon Blvd
Suite 104
Key Biscayne, FL 33149
Phone: (305) 361-0351
Fax: (305) 361-2180
Street-level locationGet directions
Mailing address
240 Crandon Blvd
Key Biscayne, FL 33149
Other names (DBA / former)
- Doing business as
- Illustradent Key Biscayne
Registry dates
- Enumerated
- 2016-05-27
- Last updated
- 2016-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.