Active NPI
Tamara Silva Gonzalez
- Dentist
- Humacao, PR
National Provider Identifier
1679865869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2876
- Practice address
- 58 Calle Manuel Cruz
Humacao, PR 00791-3627 - Phone
- (787) 852-8255
- NPI assigned
- May 6, 2011
- Last updated
- May 10, 2011
- 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 | 2876 | PR | Primary |
Addresses
Primary practice location
58 Calle Manuel Cruz
Humacao, PR 00791-3627
Mailing address
58 Calle Manuel Cruz
Humacao, PR 00791-3627
Phone (787) 852-1579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240108000973 | PR | Order and Referring Only - Dentist | 4880999135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2876 | PR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistas Misioneros de PR (Dmdpr) | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Culebra, PR
- NPI 1871042325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1679865869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 CALLE MANUEL CRUZ",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913627",
"telephone_number": "787-852-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 CALLE MANUEL CRUZ",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913627",
"telephone_number": "787-852-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA GONZALEZ",
"first_name": "TAMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
- Servicios Pediatricos Salud Dando a Mis Ninos
- Servicios Terapeuticos Neurofoni LLC
- Shaddai Pharmacy #2 Inc
- Shaddai Pharmacy Inc.
- Jessica Sifuentes Carrasquillo, MD
- Debbie M Silva Mestre, LND ( DIETITIAN)
- Jennie Marie Silva, PHARM D
- Sistema Prehospitalario de Emergencias Medicas Siprem Inc
- Howard Alan Smith, MD
- Manuel Soares Rivera, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.