Provider Demographics
NPI:1265018238
Name:CUAREZMA, ERIKA CELESTE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:CELESTE
Last Name:CUAREZMA
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 1:1111 E SUNRISE BLVD UNIT 102
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-2857
Mailing Address - Country:US
Mailing Address - Phone:305-331-9087
Mailing Address - Fax:
Practice Address - Street 1:2365 N UNIVERSITY DR OFC 228
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5121
Practice Address - Country:US
Practice Address - Phone:954-710-9509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN25469122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist