Individual provider Active NPI

Lilyette Emily Gonzalez

  • Dentist
  • Pembroke Pines, FL
National Provider Identifier
1689428757
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN29081 Issued in FL
Practice address
12251 Taft St Ste 301
Pembroke Pines, FL 33026-1956
Phone
(954) 437-7077
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN29081 FL Primary

Addresses

Primary practice location

12251 Taft St Ste 301
Pembroke Pines, FL 33026-1956

Mailing address

6830 SW 159TH PL
Miami, FL 33193-3680
Phone (305) 458-7757

Other practice location 1

3400 Lee Blvd
Lehigh Acres, FL 33971-1309
Phone (844) 342-7935

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

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1689428757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 SW 159TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933680",
            "telephone_number": "305-458-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 TAFT ST STE 301",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261956",
            "telephone_number": "954-437-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "339711309",
            "country_code": "US",
            "telephone_number": "844-342-7935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LILYETTE",
        "middle_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.