Provider Demographics
NPI:1518213388
Name:BORGES, OSBEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:OSBEL
Middle Name:
Last Name:BORGES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S MIAMI AVE
Mailing Address - Street 2:APT 3814
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1909
Mailing Address - Country:US
Mailing Address - Phone:305-281-5121
Mailing Address - Fax:305-604-3217
Practice Address - Street 1:6200 SUNSET DR
Practice Address - Street 2:SUITE 402
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4828
Practice Address - Country:US
Practice Address - Phone:305-665-8730
Practice Address - Fax:305-665-8736
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN192281223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery