Ana Lina Gonzalez Caceres, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN22931 Issued in FL

Practice address

2201 NW Corporate Blvd Ste 103
Boca Raton, FL 33431-7337

Phone

(561) 347-7006

NPI assigned

Jan 28, 2016

Last updated

Nov 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• E & G Pediatric Dentistry PA

  dba Sea & Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Hallandale Beach, FL
  • NPI 1477217313
  NPD Authorized official
• Monika Srivastava DMD PA East

  dba Jacaranda Smiles Children's Dentistry and Orthodontics

  • Pediatric Dentistry
  • Pembroke Pines, FL
  • NPI 1043677925
  NPD (past)
• Monika Srivastava DMD PA Plantation

  dba Jacaranda Smiles Children's Dentistry and Orthodontics

  • Pediatric Dentistry
  • Plantation, FL
  • NPI 1114433646
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1699133132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 THREE ISLANDS BLVD APT 205",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NW CORPORATE BLVD STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317337",
            "telephone_number": "561-347-7006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10051 Pines Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246172",
            "country_code": "US",
            "telephone_number": "954-251-2717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 NW 100th Ave",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333247008",
            "country_code": "US",
            "telephone_number": "954-452-9988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ CACERES",
        "first_name": "ANA",
        "middle_name": "LINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22931",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN22931",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022980900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn T Gonsher, MS, OTR/L
• Edward Francis Gonsky, D.M.D., M.S.D.
• Michelle Gonzales, DMD
• Vanessa Gonzalez Alpizar
• Ana Maria Gonzalez Borrero
• Claudia Gonzalez Cruz
• Osmani Gonzalez Delgado
• Luis Alejandro Gonzalez Gonzalez
• Paulina Gonzalez Rul, MS, LDN, CNS
• Lanny Gonzalez Soca

• Pediatric Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.