Andrea Gonzalez Carbonell, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3052 Issued in PR

Practice address

Ave 65 Infanteria
12 Los Flamboyanes
San Juan, PR 00918

Phone

(787) 691-0781

NPI assigned

Jul 12, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smile Design Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Juan, PR
  • NPI 1891347191
  NPD

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1386909679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 ARTERIAL B AVENUE",
            "address_2": "COLISEUM TOWER #2203",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-691-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE 65 INFANTERIA",
            "address_2": "12 LOS FLAMBOYANES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-691-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CARBONELL",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PR",
            "license": "3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Gonzalez Aponte
• Nahria Alexandra Gonzalez Benitez
• Dennis Gonzalez Betancourt, MD
• Alex N Gonzalez Bossolo, M.D
• Benjamin A Gonzalez Burgos, MD
• Anel Renee Gonzalez Cardona, MD
• Jorge Abraham Gonzalez Castillo, MD
• Melissa Marie Gonzalez Castro, D.C.
• Enolix Gonzalez Colon
• Hadelin Gonzalez Cornelio

• Orthodontics and Dentofacial Orthopedics Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.