Look up the most recent NPI and PECOS records

Maria Angelica Altahona

Dentist

Dental Providers

6221 Robert Ln Apt 403c, Davie, FL 33314-4453

PECOS Enrollment

Based on the most recent information from CMS, provider Maria Angelica Altahona does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1245971746
Provider Type
Individual
Full Name
Altahona, Maria Angelica
Gender
Female

Sole Proprietor
Yes
Enumeration Date
4/6/2022
Last Updated
1/13/2025

Contact Information

Practice Location

6221 Robert Ln Apt 403c, Davie, FL 33314-4453

(954) 544-8752

Unlisted Fax

Mailing Location

6221 Robert Ln Apt 403c, Davie, FL 33314-4453

(954) 544-8752

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License DM28965 Florida

Provider Identifiers

ID	Description	Issuer
ID DRPM2411	Description Other	Issuer BOARD PERMIT Florida

Maria Angelica Altahona

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Moini, Marshall Darien

Incisor Advisor Llc

Sands, James David

Kushner, Benn Marvin

Smile Everyday Davie Pllc

Green, Dory

Dr. Norman Bluth, Dr. Barry Bluth, Pa