South Miami Dental Service PA
NPI 1104274471 · Health Maintenance Organization · Key Biscayne, FL
South Miami Dental Service PA is a Health Maintenance Organization organization in Key Biscayne, FL (NPI 1104274471).
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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Illustradent Key Biscayne
Registry dates
- Enumerated
- 2016-05-27
- Last updated
- 2016-05-27
Frequently asked questions
- What is South Miami Dental Service PA's NPI number?
- South Miami Dental Service PA's National Provider Identifier (NPI) is 1104274471, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Miami Dental Service PA?
- South Miami Dental Service PA is classified in the NPPES registry as Health Maintenance Organization (Managed Care Organizations).
- Where is South Miami Dental Service PA located?
- South Miami Dental Service PA's practice location on file with NPPES is 240 Crandon Blvd, Key Biscayne, FL 33149.
- What is South Miami Dental Service PA's phone number?
- The practice phone number listed in the NPPES registry for South Miami Dental Service PA is (305) 361-0351.
- Who is the authorized official for South Miami Dental Service PA?
- The authorized official listed on South Miami Dental Service PA's NPPES record is Mayra Perez, Admnistrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Miami Dental Service PA's NPI active?
- Yes — South Miami Dental Service PA's NPI (1104274471) is active in the NPPES registry as of the last update on 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.