Provider Demographics
NPI:1043496995
Name:SOTOMAYOR, CIRO A III (DDS)
Entity type:Individual
Prefix:DR
First Name:CIRO
Middle Name:A
Last Name:SOTOMAYOR
Suffix:III
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 1:8221 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2027
Mailing Address - Country:US
Mailing Address - Phone:305-266-7000
Mailing Address - Fax:
Practice Address - Street 1:8221 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2027
Practice Address - Country:US
Practice Address - Phone:305-266-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN12245122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist