Reinol a. Gonzalez, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REINOL A. GONZALEZ, DMD, PA

Practice address

4789 SW 148TH Ave
Suite #205
Davie, FL 33330-2119

Phone

(954) 252-5911

Fax

(954) 434-8075

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Reinol Antonio Gonzalez, DMDNPI 1093878043

Title

President

Phone

(954) 252-5911

Specialties & licenses 1

Addresses

Other names 1

• Regency Square Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reinol Antonio Gonzalez, DMD

  • Dentist
  • Davie, FL
  • NPI 1093878043
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1700949682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4789 SW 148TH AVE",
            "address_2": "SUITE #205",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302119",
            "telephone_number": "954-252-5911",
            "fax_number": "954-434-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4789 SW 148TH AVE",
            "address_2": "SUITE #205",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302119",
            "telephone_number": "954-252-5911",
            "fax_number": "954-434-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINOL A. GONZALEZ, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "REINOL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-252-5911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Square Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lewis N Reich, O.D.
• Mervin Reid
• Matthew Allen Reik, PHARMD
• Laura Victoria Reillo Arjemi
• Morgan Reilly
• Sabrina Reis
• Jenna Reisert
• Ilia Nicole Reisman, M.S. CCC-SLP
• Peter Ian Reiter, DC
• David Reitman, PH.D.

• General Practice Dentistry in Davie, FL
• Providers in Davie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.