Gomez & Revuelta,DDS,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12049 Issued in FL

Legal business name

GOMEZ & REVUELTA,DDS,PA

Practice address

1255 W 46TH St Ste 1
Hialeah, FL 33012-3257

Phone

(305) 558-2933

Fax

(305) 558-6970

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ana Maria RevueltaNPI 1316166366

Title

Owner/Dentist

Phone

(305) 558-2933

Specialties & licenses 1

Addresses

Practitioners 2

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

• Ana Maria Revuelta, D.M.D.

  • Dentist
  • Hialeah, FL
  • NPI 1316166366
  NPD (past) Authorized official
• Debora Isabel Lopez, DDS

  • Dentist
  • Hialeah, FL
  • NPI 1831320282
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1912195033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W 46TH ST STE 1",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123257",
            "telephone_number": "305-558-2933",
            "fax_number": "305-558-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W 46TH ST STE 1",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123257",
            "telephone_number": "305-558-2933",
            "fax_number": "305-558-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMEZ & REVUELTA,DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "REVUELTA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "305-558-2933",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Palm Pharmacy Corp
• Golden Therapy Center, Inc.
• Golden Years Home Care Services
• Carlos Goldenberg, MD
• Jessca Gomara
• Marisela Gomez Acevedo
• Omar Gomez Albuerne
• Sorania Lyanet Gomez Alejo
• Alexis Gomez Alfonso
• Sulyn Gomez Alonso

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, 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 Oct 15, 2007; 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.