Raymond Gonzalez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN27060 Issued in FL

Practice address

1750 Tamiami TRL Ste 100
Port Charlotte, FL 33948-1045

Phone

(941) 235-1001

NPI assigned

Jun 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1447980677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MONICA ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 TAMIAMI TRL STE 100",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481045",
            "telephone_number": "941-235-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RAYMOND",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyasil Gonsalves-Barriero, M.D.
• Brenda Gonzalez Camacho, LCSW
• Denysse Gonzalez Castillo
• Jose Manuel Gonzalez-Canal, M.D.
• Maria E Gonzalez, NP
• Barbara Gordon, ARNP
• Vikti Gosalia, M.D.
• Lara Elaine Goulding, APRN
• Gregory Grabowski, DMD
• Grace Angels Home Care LLC

• Dentist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.