Active NPI
Stella Gonzalez, DDS
- General Practice Dentistry
- Miami, FL
National Provider Identifier
1942473301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50466
- Practice address
- 1545 NW 15TH Street Rd Apt 1504
Miami, FL 33125-1684 - Phone
- (714) 206-8854
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50466 | CA | Primary |
Addresses
Primary practice location
1545 NW 15TH Street Rd Apt 1504
Miami, FL 33125-1684
Mailing address
1545 NW 15TH Street Rd Apt 1504
Miami, FL 33125-1684
Phone (714) 206-8854
Other practice location 1
10216 Vultee Ave
228
Downey, CA 90241-2770
Phone (562) 622-2706
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50466 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1942473301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 NW 15TH STREET RD APT 1504",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251684",
"telephone_number": "714-206-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 NW 15TH STREET RD APT 1504",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251684",
"telephone_number": "714-206-8854"
}
],
"practiceLocations": [
{
"address_1": "10216 Vultee Ave",
"address_2": "228",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902412770",
"country_code": "US",
"telephone_number": "562-622-2706",
"fax_number": "562-622-2706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "STELLA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.