Reinol Antonio Gonzalez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN11454 Issued in FL

Practice address

4789 SW 148TH Ave
Suite #205
Davie, FL 33330-2119

Phone

(954) 252-5911

Fax

(954) 434-8075

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Reinol a. Gonzalez, DMD, PA

  • General Practice Dentistry
  • Davie, FL
  • NPI 1700949682
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1093878043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4789 SW 148TH AVE",
            "address_2": "SUITE #205",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302119",
            "telephone_number": "954-252-5911",
            "fax_number": "954-434-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4789 SW 148TH AVE",
            "address_2": "SUITE #205",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302119",
            "telephone_number": "954-252-5911",
            "fax_number": "954-434-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "REINOL",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Gonzalez
• Melanie C Gonzalez
• Michelle Gonzalez
• Mirella Gonzalez
• Oscar Gonzalez, DDS
• Sabrina Gonzalez, PHARMD
• Samantha Gonzalez
• Sofia Ariel Gonzalez
• Stephanie Guerra Gonzalez
• Stephanie Ivana Gonzalez, DDS

• Dentist in Davie, FL
• Providers in Davie, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.