Lynda D Gonzalez

Primary specialty

DentistTaxonomy code 122300000X

License

26241 Issued in FL

Practice address

1869 N 66TH Ave
Hollywood, FL 33024-4017

Phone

(954) 983-3992

NPI assigned

Feb 19, 2019

Sex

Female

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

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Faculty Associates, Inc

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1770537953
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1528524105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 NW 33RD ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233036",
            "telephone_number": "973-722-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 N 66TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244017",
            "telephone_number": "954-983-3992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330133817",
            "country_code": "US",
            "telephone_number": "305-694-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LYNDA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "DRPM1987",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "26241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Gonzalez, DMD
• Kirenia Gonzalez, M.A., BCBA
• Leah Gonzalez, ARNP
• Liesl Gonzalez
• Luis M Gonzalez Sr., MD
• Magdalena Marie Gonzalez, PA
• Maylin Gonzalez, M.S
• Olga Vanessa Gonzalez, ARNP
• Patricia Gonzalez
• Raquel Christine Gonzalez, PA-C

• Dentist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.