Icom Coral Gables LLC
NPI 1396515151ActiveOrganization· Dentist· Coral Gables, FL
Dentist in Coral Gables, Florida, registered in NPPES in January 2024. The authorized official on file is Tatiana Santiago Herzog, Dentist.
Overview
| NPI | 1396515151 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2024 |
| Last updated in NPPES | Jan 3, 2024 |
| Certified by provider | Jan 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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