Gonzalez Dental Lab

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

License

DL 11401 Issued in FL

Legal business name

GONZALEZ DENTAL LAB

Practice address

921 SW 122ND Ave
Miami, FL 33184-2477

Phone

(305) 975-1292

NPI assigned

Nov 2, 2015

Last updated

Nov 2, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Pedro P Gonzalez

Title

Owner

Phone

(305) 975-1292

Specialties & licenses 1

Addresses

Locations

Networks

• HealthSun Health Plans Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1093188856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NW 129TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822324",
            "telephone_number": "305-975-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842477",
            "telephone_number": "305-975-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ DENTAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-975-1292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "FL",
            "license": "DL 11401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniley Gonzalez de la Torre
• Leonid Gonzalez de Los Reyes
• Tania Gonzalez Deler
• Daimarys Elena Gonzalez Delgado
• Yamile Gonzalez Delgado
• Daniela Gonzalez Diaz
• Dianelys Gonzalez Diaz
• Eily Gonzalez Diaz
• Gisela Gonzalez Diaz
• Roxana Gonzalez Diaz

• Dental Laboratory in Miami, FL
• Providers in Miami, FL by specialty
• Dental Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.