Individual provider Active NPI

Tania Denisse Gonzalez Fuentes, DMD

  • General Practice Dentistry
  • Arecibo, PR
National Provider Identifier
1497287536
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3285 Issued in PR
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3285PRMDClinical 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.

Verify at the official NPI Registry.