Provider Demographics
NPI:1881940062
Name:ALVES DAPORTA, ASTRID (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ASTRID
Middle Name:
Last Name:ALVES DAPORTA
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 S BAYSHORE DR
Mailing Address - Street 2:#760
Mailing Address - City:COCONUT GROVE
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5417
Mailing Address - Country:US
Mailing Address - Phone:305-857-0990
Mailing Address - Fax:305-857-9180
Practice Address - Street 1:2601 S BAYSHORE DR
Practice Address - Street 2:#760
Practice Address - City:COCONUT GROVE
Practice Address - State:FL
Practice Address - Zip Code:33133-5417
Practice Address - Country:US
Practice Address - Phone:305-857-0990
Practice Address - Fax:305-857-9180
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN196291223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics