Provider Demographics
NPI:1568190106
Name:ARMENTEROS, ANA LORENA (DMD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:LORENA
Last Name:ARMENTEROS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 S UNIVERSITY DR APT 102
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1474
Mailing Address - Country:US
Mailing Address - Phone:305-975-9284
Mailing Address - Fax:
Practice Address - Street 1:815 S UNIVERSITY DR STE 100
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3312
Practice Address - Country:US
Practice Address - Phone:549-473-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-11
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN27331122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
No122300000XDental ProvidersDentist