Active NPI
Tania Denisse Gonzalez Fuentes, DMD
- General Practice Dentistry
- Arecibo, PR
National Provider Identifier
1497287536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3285
- Practice address
- Street 2 KM 81.4
Popular Mortgage Plaza Suite 203
Arecibo, PR 00612-0000 - Phone
- (787) 262-5600
- NPI assigned
- Mar 29, 2017
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3285 | PR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
Street 2 KM 81.4
Popular Mortgage Plaza Suite 203
Arecibo, PR 00612-0000
Mailing address
21 Calle Yagrumo
Villa Lucia
Arecibo, PR 00612-3557
Phone (787) 262-5600
Other practice location 1
Carr 628 km 3.9
Bo Manatiales Sector Jobales
Arecibo, PR 00612
Phone (787) 881-1350 ext. 230
Other practice location 2
Tropical Plaza Suite 3
Street 2 Marginal 272
Hatillo, PR 00659-0000
Phone (787) 690-2460
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 |
|---|---|---|---|
| 3285 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1497287536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CALLE YAGRUMO",
"address_2": "VILLA LUCIA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006123557",
"telephone_number": "787-262-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STREET 2 KM 81.4",
"address_2": "POPULAR MORTGAGE PLAZA SUITE 203",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006120000",
"telephone_number": "787-262-5600"
}
],
"practiceLocations": [
{
"address_1": "Carr 628 km 3.9",
"address_2": "Bo Manatiales Sector Jobales",
"address_purpose": "LOCATION",
"city": "Arecibo",
"state": "PR",
"postal_code": "00612",
"country_code": "US",
"telephone_number": "787-881-1350 x230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Tropical Plaza Suite 3",
"address_2": "Street 2 Marginal 272",
"address_purpose": "LOCATION",
"city": "Hatillo",
"state": "PR",
"postal_code": "006590000",
"country_code": "US",
"telephone_number": "787-690-2460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ FUENTES",
"first_name": "TANIA",
"middle_name": "DENISSE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "3285",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.