RGD Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19923 Issued in FL

Legal business name

RGD DENTAL CORP

Practice address

11870 Hialeah Gardens Blvd
Suite 129 a
Hialeah Gardens, FL 33018-4235

Phone

(786) 536-7537

Fax

(786) 534-5934

NPI assigned

May 31, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Reydel Gonzalez, DDSNPI 1225385370

Title

President

Phone

(786) 536-7537

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RGD DENTAL CARE Doing business as

Locations

Practitioners 1

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

• Reydel Gonzalez, D.D.S

  • General Practice Dentistry
  • Hialeah Gardens, FL
  • NPI 1225385370
  NPD (past) Authorized official

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1972951952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 HIALEAH GARDENS BLVD",
            "address_2": "SUITE 129 A",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184235",
            "telephone_number": "786-536-7537",
            "fax_number": "786-534-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 HIALEAH GARDENS BLVD",
            "address_2": "SUITE 129 A",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184235",
            "telephone_number": "786-536-7537",
            "fax_number": "786-534-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGD DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "REYDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-536-7537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016573500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RGD DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor Hugo Reina More, BS
• Retromoderno Primary Care Corp
• Retromoderno Primary Care Corp
• Sheila Reyes Grovas
• Zurisaday Reyes
• Lorena Ricardo Alonso
• Ineldis Rieco Estrada
• Riliz Home, Corp
• Dianelys Rios
• Amanda Ripoll

• General Practice Dentistry in Hialeah Gardens, FL
• Providers in Hialeah Gardens, 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 May 31, 2016; 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.