Active NPI
Carmen Lien Gonzalez
- Dentist
- Miami, FL
National Provider Identifier
1285110718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN23700
- Practice address
- 13701 SW 12TH St
Miami, FL 33184-2704 - Phone
- (786) 416-2385
- NPI assigned
- Jul 18, 2018
- 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 | DN23700 | FL | Primary |
Addresses
Primary practice location
13701 SW 12TH St
Miami, FL 33184-2704
Mailing address
13701 SW 12TH St
Miami, FL 33184-2704
Phone (786) 416-2385
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)
- Enrolled
Networks
- HealthSun Health Plans Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1285110718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13701 SW 12TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842704",
"telephone_number": "786-416-2385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13701 SW 12TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842704",
"telephone_number": "786-416-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CARMEN",
"middle_name": "LIEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN23700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.