Elena M Solis Gonzalez DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20240 Issued in FL

Legal business name

ELENA M SOLIS GONZALEZ DMD LLC

Practice address

12002 SW 128TH CT Ste 210
Miami, FL 33186-4643

Phone

(786) 776-3328

NPI assigned

Jul 26, 2018

Organization subpart

Yes

Parent organization

ELENA M SOLIS GONZALEZ DMD LLCAs reported in NPPES

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

Authorized official

Name

Dr. Elena M Solis Gonzalez, DMD

Title

Owner

Phone

(561) 267-0906

Specialties & licenses 1

Addresses

Other names 1

• RENAISSANCE DENTAL CLINIC Doing business as

Part of

Elena M Solis Gonzalez DMD LLC

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1568949048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864643",
            "telephone_number": "786-776-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864643",
            "telephone_number": "786-776-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA M SOLIS GONZALEZ DMD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELENA M SOLIS GONZALEZ DMD LLC",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "SOLIS GONZALEZ",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-267-0906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENAISSANCE DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RENAISSANCE DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elemental Behavioral Inc.
• Elemy Iop LLC
• Elena Assisted Living Facility
• Elena Palace
• Elena Plasencia LLC
• Elena R Valor MD PA
• Elena'S Home Corp
• Ananth Eleswarapu

• General Practice Dentistry in Miami, FL
• Providers in Miami, 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 Jul 26, 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.