Individual provider Active NPI

Monica Gonzalez Vigon, D.M.D.

  • Dentist
  • Miami, FL
National Provider Identifier
1699115741
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20163 Issued in FL
Practice address
9971 W Flagler St
Suite 220
Miami, FL 33174-1810
Phone
(786) 418-3074
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20163 FL Primary

Addresses

Primary practice location

9971 W Flagler St
Suite 220
Miami, FL 33174-1810

Mailing address

13912 SW 25TH St
Miami, FL 33175-7051
Phone (786) 488-0856

Other practice location 1

8694 NW 13th Ter
Doral, FL 33126-1511
Phone (786) 837-7939

Other practice location 2

805 N Homestead Blvd
Homestead, FL 33030-5024
Phone (786) 410-6656

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160321000934 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426355330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fontainebleau Dentistry, PA Past Accepting new patients
Dentists of Doral, PA Dentist PastSince Nov 17, 2019 Accepting new patients
Homestead Modern Dentistry, PA Dentist PastSince Dec 15, 2019 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1699115741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13912 SW 25TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757051",
            "telephone_number": "786-488-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9971 W FLAGLER ST",
            "address_2": "SUITE 220",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741810",
            "telephone_number": "786-418-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8694 NW 13th Ter",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331261511",
            "country_code": "US",
            "telephone_number": "786-837-7939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 N Homestead Blvd",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330305024",
            "country_code": "US",
            "telephone_number": "786-410-6656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGON",
        "first_name": "MONICA",
        "middle_name": "GONZALEZ",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.