Provider Demographics
NPI:1447388202
Name:GALEANO, NUBIA E (DMD)
Entity Type:Individual
Prefix:DR
First Name:NUBIA
Middle Name:E
Last Name:GALEANO
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 1:10399 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4339
Mailing Address - Country:US
Mailing Address - Phone:561-204-1719
Mailing Address - Fax:561-204-3996
Practice Address - Street 1:10399 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4339
Practice Address - Country:US
Practice Address - Phone:561-204-1719
Practice Address - Fax:561-204-3996
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN154071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL075442100Medicaid