Active NPI
Pablo Cruz Gonzalvez, RDH
- Dental Hygienist
- Pompano Beach, FL
National Provider Identifier
1235953191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH32941
- Practice address
- 162 N Powerline Rd
Pompano Beach, FL 33069-2514 - Phone
- (954) 970-7067
- Fax
- (954) 966-3320
- NPI assigned
- Nov 7, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH32941 | FL | Primary |
Addresses
Primary practice location
162 N Powerline Rd
Pompano Beach, FL 33069-2514
Mailing address
162 N Powerline Rd
Pompano Beach, FL 33069-2514
Phone (954) 970-7067
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 |
|---|---|---|---|
| DH32941 | FL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1235953191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 N POWERLINE RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330692514",
"telephone_number": "954-970-7067",
"fax_number": "954-966-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 N POWERLINE RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330692514",
"telephone_number": "954-970-7067",
"fax_number": "954-966-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ GONZALVEZ",
"first_name": "PABLO",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-07",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "DH32941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.