Organization Active NPI

Clara M. Gonzalez, D.M.D. P.a.

  • Dentist
  • Hialeah, FL
National Provider Identifier
1902071210
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN11268 Issued in FL
Legal business name
CLARA M. GONZALEZ, D.M.D. P.A.
Practice address
6532 NW 186TH St
Hialeah, FL 33015-6004
Phone
(306) 362-4717
Fax
(305) 362-4880
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Clara M. Gonzalez, D.M.D.
Title
President
Phone
(305) 362-4717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN11268 FL Primary

Addresses

Primary practice location

6532 NW 186TH St
Hialeah, FL 33015-6004

Mailing address

6532 NW 186TH St
Hialeah, FL 33015-6004
Phone (306) 362-4717

National Provider Directory

National Provider Directory

Locations

6532 NW 186th St
Hialeah, FL 33015
Phone (305) 362-4717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1902071210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6532 NW 186TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156004",
            "telephone_number": "306-362-4717",
            "fax_number": "305-362-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6532 NW 186TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156004",
            "telephone_number": "306-362-4717",
            "fax_number": "305-362-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA M. GONZALEZ, D.M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-362-4717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11268",
            "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 Apr 28, 2008; 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.