Provider Demographics
NPI:1801248935
Name:BARONA, JORGE DANIEL II (DMD)
Entity type:Individual
Prefix:DR
First Name:JORGE
Middle Name:DANIEL
Last Name:BARONA
Suffix:II
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 1:7250 SW 121ST CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3722
Mailing Address - Country:US
Mailing Address - Phone:786-554-1721
Mailing Address - Fax:
Practice Address - Street 1:9560 SW 107TH AVE
Practice Address - Street 2:206
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2787
Practice Address - Country:US
Practice Address - Phone:305-274-2110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN220691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice