Individual provider Active NPI

Elena Maria Solis Gonzalez, D.M.D.

  • General Practice Dentistry
  • Cutler Bay, FL
National Provider Identifier
1780024950
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20240 Issued in FL
Practice address
19151 S Dixie Hwy
Suite 206
Cutler Bay, FL 33157-7737
Phone
(305) 256-1303
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN20240 FL Primary

Addresses

Primary practice location

19151 S Dixie Hwy
Suite 206
Cutler Bay, FL 33157-7737

Mailing address

1197 NW 30TH PL
Miami, FL 33125-2947
Phone (561) 267-0906

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
I20160209002616 FL Order and Referring Only - DentistPractitioner - Dentist 3173827201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pointe Royale Dental Clinic Past Accepting new patients
Lysette M Gonzales Perez DMD LLC PastSince Jun 7, 2020 Accepting new patients

Organizations & group practices 2

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": "1384732800000",
    "number": "1780024950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 NW 30TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252947",
            "telephone_number": "561-267-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19151 S DIXIE HWY",
            "address_2": "SUITE 206",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577737",
            "telephone_number": "305-256-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS GONZALEZ",
        "first_name": "ELENA",
        "middle_name": "MARIA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.