Patricia Consuelo Gonzalez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN19362 Issued in FL

Practice address

225 N 1St St
Leesburg, FL 34748-5150

Phone

(407) 905-8827

Fax

(352) 360-2389

NPI assigned

Oct 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: patricia.gonzalez@chcfl.eclinicaldirectplus.com

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.

• Community Health Centers, Inc

  • Dental Clinic/Center
  • Orlando, FL
  • NPI 1003058140
  NPD (past)
• Community Health Centers, Inc.

  • Clinic/Center
  • Apopka, FL
  • NPI 1265791842
  NPD (past)
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1831261445
  NPD (past)
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Apopka, FL
  • NPI 1972800563
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1760633739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WOODLAND ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873546",
            "telephone_number": "407-905-8827",
            "fax_number": "407-905-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N 1ST ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485150",
            "telephone_number": "407-905-8827",
            "fax_number": "352-360-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PATRICIA",
        "middle_name": "CONSUELO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2818",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Gonzalez
• Gilda Gonzalez
• Joel Dejesus Gonzalez, APRN
• Miguel A Gonzalez, MD
• Miguel E Gonzalez, MD
• Tamicha Anderson Gooden, ARNP
• Adlin Marie Gordian-Arroyo, MD
• Kristin Dewaila Gordon, DBH, LSSYB, RMHCI
• Candy L Gott
• Shelly Nichole Grabiak, LCSW

• Dentist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.