Active NPI
Mauritania Pol Nuris, DMD
- Dentist
- Pembroke Pines, FL
National Provider Identifier
1023852258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29119
- Practice address
- 9818 Pines Blvd
Pembroke Pines, FL 33024-6141 - Phone
- (954) 432-4800
- NPI assigned
- Jun 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29119 | FL | Primary |
Addresses
Primary practice location
9818 Pines Blvd
Pembroke Pines, FL 33024-6141
Mailing address
1010 NW 100TH Ave
Pembroke Pines, FL 33024-4374
Phone (585) 615-3453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29119 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liliana C. Gonzalez D D S PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Pembroke Pines, FL
- NPI 1083891824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1023852258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 NW 100TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330244374",
"telephone_number": "585-615-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9818 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246141",
"telephone_number": "954-432-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POL NURIS",
"first_name": "MAURITANIA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "29119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.