Syren Gonzalez Perez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02812100 Issued in NJ

Practice address

6936 Long Pine Cir
Coconut Creek, FL 33073-3079

Phone

(305) 956-8346

NPI assigned

Sep 11, 2020

Last updated

Jun 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1487269916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 LONG PINE CIR",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733079",
            "telephone_number": "305-956-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 LONG PINE CIR",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733079",
            "telephone_number": "305-956-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PEREZ",
        "first_name": "SYREN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DIO2812100",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25096",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02812100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Retreat at Coconut Creek
• Golden Retreat Senior Living Inc
• Robert Goldsmith
• Luis Fernando Gomez, D.D.S.
• Alejandro Ramon Gonzalez Ballagas, DPM
• Tatianna Alexis Gonzalez
• Denite Gordon
• Sheterica Denise Gordon
• Leonel Gras, PA
• Candace Heather Gray

• Dentist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.