Juan Gomez Pantoja

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN28398 Issued in FL

Practice address

786 S Homestead Blvd
Homestead, FL 33030-7352

Phone

(305) 242-5777

NPI assigned

Apr 18, 2021

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1447831722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SW 130TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 S HOMESTEAD BLVD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330307352",
            "telephone_number": "305-242-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ PANTOJA",
        "first_name": "JUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-18",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Zonia Gomez de la Rosa
• Marta Gomez Depestre
• Patricia Gomez Frontela
• Daylen Viviana Gomez Garcia
• Andy Gomez Molina
• Renier Gomez Pena
• Leyanis Gomez Perez
• Nils Gomez Perez, DDS
• Inlian Sayonara Gomez Riera
• Carina D Gomez Rodriguez

• General Practice Dentistry in Homestead, FL
• Providers in Homestead, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.