Provider Demographics
NPI:1962504316
Name:PARAYUELOS, HECTOR E JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:E
Last Name:PARAYUELOS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 W 50TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3438
Mailing Address - Country:US
Mailing Address - Phone:305-823-2086
Mailing Address - Fax:
Practice Address - Street 1:1140 W 50TH ST STE 201
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3438
Practice Address - Country:US
Practice Address - Phone:305-823-2086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00127671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice