Individual provider Active NPI

Sutnamis Gonzalez

  • Dentist
  • Hialeah, FL
National Provider Identifier
1750762019
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN23039 Issued in FL
Practice address
4999 W 8TH Ave Ste 1
Hialeah, FL 33012-3409
Phone
(786) 593-5943
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23039 FL Primary

Addresses

Primary practice location

4999 W 8TH Ave Ste 1
Hialeah, FL 33012-3409

Mailing address

2263 SW 37TH Ave Apt 737
Miami, FL 33145-3270
Phone (786) 531-4820

Other practice location 1

2175 Hudson Ter
Apt 1D
Fort Lee, NJ 07024-7721
Phone (786) 531-4820

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

State licenses

LicenseStateTypeSpecialty
DN23039FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750762019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 SW 37TH AVE APT 737",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453270",
            "telephone_number": "786-531-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 W 8TH AVE STE 1",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123409",
            "telephone_number": "786-593-5943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 Hudson Ter",
            "address_2": "Apt 1D",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070247721",
            "country_code": "US",
            "telephone_number": "786-531-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SUTNAMIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.