Yudith Gonzalez Estopinan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 21416 Issued in FL

Practice address

3675 W 11TH Ave Apt 315
Hialeah, FL 33012-4963

Phone

(786) 879-5225

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1598148652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 W 11TH AVE APT 315",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124963",
            "telephone_number": "786-879-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 W 11TH AVE APT 315",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124963",
            "telephone_number": "786-879-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ESTOPINAN",
        "first_name": "YUDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rogelio Gonzalez Diaz
• Ana M Gonzalez Dieguez
• Kendry Gonzalez Duardo
• Arletis Gonzalez Duarte
• Olga L Gonzalez Espino, RBT
• Daniuska Gonzalez Fals
• Juan Antonio Gonzalez Fernandez, PHARMD
• Yanelys Gonzalez Fernandez
• Lidislay Gonzalez Fuentes, ARNP
• Lina Caridad Gonzalez Garces

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, 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 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.