Luis Carmelo Gaud, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2371 Issued in PR

Practice address

La Fuente Towncenter
706 Marginal Suite 11122
Guayama, PR 00784

Phone

(787) 866-5227

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Sunrise Dental & Wellness Center PLLC

  • Dentist
  • Leesburg, FL
  • NPI 1205764537
  NPD Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386845725",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "LA FUENTE TOWNCENTER 706 MARGINAL",
            "address_2": "SUITE 11122",
            "city": "GUAYAMA",
            "state": "PUERTO RICO",
            "postal_code": "00784",
            "telephone_number": "787-866-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LA FUENTE TOWNCENTER",
            "address_2": "706 MARGINAL SUITE 11122",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-866-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUD",
        "first_name": "LUIS",
        "middle_name": "CARMELO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2371",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17231",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "38613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maried Del C. Garcia Rivera
• Jose E. Garcia-Rivera, M.D.
• Gloryvette Garcia, PSYD
• Garrod Vision LLC
• Gastroenterology Centre C.S.P.
• Gobierno Municipal Guayama
• Yamilka Damaris Godineaux Manfredy, MD MEDICO GENERALIST
• Eileen Godreau, M.D.
• Golden Ambulance Inc
• Jeymi Lee Gomez

• General Practice Dentistry in Guayama, PR
• Providers in Guayama, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.