Active NPI
Luis Enrique Gonzalez Junco, DMD
- Dentist
- Miami Lakes, FL
National Provider Identifier
1447819396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24104
- Practice address
- 5190 NW 167TH St Ste 109
Miami Lakes, FL 33014-6329 - Phone
- (786) 507-3458
- Fax
- (954) 953-1417
- NPI assigned
- Jun 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 24104 | FL | Primary |
Addresses
Primary practice location
5190 NW 167TH St Ste 109
Miami Lakes, FL 33014-6329
Mailing address
8854 W Flagler St Apt 101
Miami, FL 33174-2497
Phone (786) 370-7989
Other practice location 1
8300 W Flagler St Ste 210
Miami, FL 33144-6002
Phone (786) 534-2796
Other practice location 2
266 E 49th St
Hialeah, FL 33013-1855
Phone (305) 823-9982
Other practice location 3
4500 NW 7th St
Miami, FL 33126-2307
Phone (305) 443-9206
Other practice location 4
1507 N John Young Pkwy
Kissimmee, FL 34741-3214
Phone (407) 606-8012
Other practice location 5
807 S Parsons Ave
Brandon, FL 33511-6063
Phone (813) 527-0245
Other practice location 6
1 Glen Royal Pkwy
Miami, FL 33125-5287
Phone (305) 847-9915
Other practice location 7
1251 NW 36th St
Miami, FL 33142-5532
Phone (786) 472-1366
Other practice location 8
4500 NW 7th St
Miami, FL 33126-2307
Phone (305) 443-9206
Other practice location 9
4410 W 16th Ave Ste 58
Hialeah, FL 33012-7194
Phone (305) 826-5224
Other practice location 10
1507 N John Young Pkwy
Kissimmee, FL 34741-3214
Phone (407) 606-8012
Other practice location 11
807 S Parsons Ave
Brandon, FL 33511-6063
Phone (813) 527-0245
Other practice location 12
4144 N Armenia Ave Ste 150
Tampa, FL 33607-6445
Phone (813) 575-1635
Other practice location 13
6801 SW 8th St
Miami, FL 33144-4742
Phone (786) 501-2168
Other practice location 14
3825 W 16th Ave
Hialeah, FL 33012-7005
Phone (786) 501-2166
Other practice location 15
13768 SW 8th St
Miami, FL 33184-3030
Phone (786) 501-2163
Other practice location 16
680 N University Dr
Pembroke Pines, FL 33024-6738
Phone (954) 982-7645
Other practice location 17
4358 N Federal Hwy
Ft Lauderdale, FL 33308-5208
Phone (954) 982-7645
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 |
|---|---|---|---|
| 24104 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Cosmetic Dentistry LLC | Past | Accepting new patients | |
| Dental Group of Miami PA | Dentist | Past | Accepting new patients |
| Dental Cosmetic Miami LLC | Past | Accepting new patients | |
| Jose Calvo DDS PA | Dentist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dental Clinic/Center
- Hialeah, FL
- NPI 1740057801
-
- Dentist
- Miami, FL
- NPI 1649281262
-
- Dental Clinic/Center
- Miami, FL
- NPI 1386407880
-
- Dentist
- Hialeah, FL
- NPI 1669718821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1447819396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8854 W FLAGLER ST APT 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331742497",
"telephone_number": "786-370-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 NW 167TH ST STE 109",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146329",
"telephone_number": "786-507-3458",
"fax_number": "954-953-1417"
}
],
"practiceLocations": [
{
"address_1": "8300 W Flagler St Ste 210",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331446002",
"country_code": "US",
"telephone_number": "786-534-2796",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "266 E 49th St",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330131855",
"country_code": "US",
"telephone_number": "305-823-9982",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4500 NW 7th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331262307",
"country_code": "US",
"telephone_number": "305-443-9206",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1507 N John Young Pkwy",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347413214",
"country_code": "US",
"telephone_number": "407-606-8012",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "807 S Parsons Ave",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335116063",
"country_code": "US",
"telephone_number": "813-527-0245",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Glen Royal Pkwy",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331255287",
"country_code": "US",
"telephone_number": "305-847-9915",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1251 NW 36th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331425532",
"country_code": "US",
"telephone_number": "786-472-1366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4500 NW 7th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331262307",
"country_code": "US",
"telephone_number": "305-443-9206",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4410 W 16th Ave Ste 58",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330127194",
"country_code": "US",
"telephone_number": "305-826-5224",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1507 N John Young Pkwy",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347413214",
"country_code": "US",
"telephone_number": "407-606-8012",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "807 S Parsons Ave",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335116063",
"country_code": "US",
"telephone_number": "813-527-0245",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4144 N Armenia Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076445",
"country_code": "US",
"telephone_number": "813-575-1635",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6801 SW 8th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331444742",
"country_code": "US",
"telephone_number": "786-501-2168",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3825 W 16th Ave",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330127005",
"country_code": "US",
"telephone_number": "786-501-2166",
"fax_number": "786-501-2163",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13768 SW 8th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331843030",
"country_code": "US",
"telephone_number": "786-501-2163",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 N University Dr",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330246738",
"country_code": "US",
"telephone_number": "954-982-7645",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4358 N Federal Hwy",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333085208",
"country_code": "US",
"telephone_number": "954-982-7645",
"fax_number": "954-953-1417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ JUNCO",
"first_name": "LUIS",
"middle_name": "ENRIQUE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-12",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "24104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.