Organization Active NPI

Gema Jerez Corp

  • Dentist
  • Coral Gables, FL
National Provider Identifier
1598177016
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19881 Issued in FL
Legal business name
GEMA JEREZ CORP
Practice address
401 Coral Way Ste 305
Coral Gables, FL 33134-4926
Phone
(786) 360-6812
Fax
(786) 360-6845
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Dr. Gema Hernandez-Jerez, D.D.SNPI 1699020347
Title
President
Phone
(786) 360-6812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN19881 FL Primary

Addresses

Primary practice location

401 Coral Way Ste 305
Coral Gables, FL 33134-4926

Mailing address

401 Coral Way Ste 305
Coral Gables, FL 33134-4926
Phone (786) 360-6812

Other identifiers 1

IdentifierTypeStateIssuer
010493400MedicaidFL

National Provider Directory

National Provider Directory

Locations

401 Coral Way
Ste 305
Coral Gables, FL 33134
Phone (786) 360-6812

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1598177016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY STE 305",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344926",
            "telephone_number": "786-360-6812",
            "fax_number": "786-360-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY STE 305",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344926",
            "telephone_number": "786-360-6812",
            "fax_number": "786-360-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMA JEREZ CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ-JEREZ",
        "authorized_official_first_name": "GEMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-360-6812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010493400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.