Christian Guillermo Gonzalez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

059586 Issued in NY

Practice address

3020 Marcos Dr Apt S611
Aventura, FL 33160

Phone

(786) 337-2852

NPI assigned

Apr 30, 2008

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgonzalez@ehfm.medentdirect.com

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.

• Fernandez & Associates PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Plantation, FL
  • NPI 1750670170
  NPD
• East Hill Family Medical, Inc.

  • Family Medicine Physician
  • Auburn, NY
  • NPI 1609813971

  General Practice

  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1558537589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 MARCOS DR",
            "address_2": "APT. S611",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602583",
            "telephone_number": "786-337-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 MARCOS DR APT S611",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33160",
            "telephone_number": "786-337-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CHRISTIAN",
        "middle_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110924",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose N Gomez
• Zarina Gomez
• Alfonso Gonzalez, H.I.S. BC
• Carla Gonzalez
• Christian David Gonzalez, M.D.
• Diana Carolina Gonzalez, DPT
• Luis Gonzalez
• Maite Alejandra Gonzalez
• Patricia Alejandra Gonzalez, CSA
• Sofia Victoria Gonzalez

• General Practice Dentistry in Aventura, FL
• Providers in Aventura, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.