Active NPI
Yanice Gonzalez, DMD
- Dentist
- West Palm Beach, FL
National Provider Identifier
1669523767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN17051
- Practice address
- 333 Southern Blvd
Suite 101
West Palm Beach, FL 33405-2654 - Phone
- (561) 835-0633
- Fax
- (561) 659-1145
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN17051 | FL | Primary |
Addresses
Primary practice location
333 Southern Blvd
Suite 101
West Palm Beach, FL 33405-2654
Mailing address
6622 W Sample Rd
Coral Springs, FL 33067-4201
Phone (786) 281-8752
Other names 1
- Dr. Yanice Gomez-Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN17051 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1669523767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6622 W SAMPLE RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674201",
"telephone_number": "786-281-8752",
"fax_number": "561-659-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SOUTHERN BLVD",
"address_2": "SUITE 101",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334052654",
"telephone_number": "561-835-0633",
"fax_number": "561-659-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "YANICE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN17051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YANICE",
"last_name": "GOMEZ-RIVERA",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.