Active NPIIndividual providerSole proprietor

Dr. Jose M Gonzalez, DMD

Dentist, General Practice in San Juan, Puerto Rico

NPI Number1104911668
Practice location
1735 Jesus T Pinero Ave., San Juan, PR 00920
Fax
787-782-0714
Last updated
July 8, 2007

Jose M Gonzalez is a Dentist, General Practice based in San Juan, PR. Jose M Gonzalez practices in San Juan, PR and has the professional credentials of DMD. The NPI Number for Jose M Gonzalez is 1104911668 and holds a License No. 1057 (PR). The current practice location address for Jose M Gonzalez is 1735 Jesus T Pinero Ave., San Juan, PR 00920 and can be reached out via phone at 787-792-2155 and via fax at 787-782-0714.

Provider Profile Details

NPI Number
1104911668
Provider Name
Jose M Gonzalez
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1735 Jesus T Pinero Ave., San Juan, PR 00920
Phone Number
787-792-2155
Fax Number
787-782-0714
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1735 Jesus T Pinero Ave.
San Juan, PR 00920
Zip
00920
Phone Number
787-792-2155
Fax Number
787-782-0714
San Juan, PR 00920Get directions →

Provider Business Mailing Address Details

Address
P O Box 10677
San Juan, PR 00922-0677
City
San Juan
State
PR
Zip
00922-0677
Phone Number
787-792-2155
Fax Number
787-782-0714

License Information

License Number
1057
License State
PR
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jose M Gonzalez, DMD?

The NPI number of Dr. Jose M Gonzalez, DMD is 1104911668. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jose M Gonzalez, DMD?

Dr. Jose M Gonzalez, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 1057.

Where does Dr. Jose M Gonzalez, DMD practice?

The practice location is 1735 Jesus T Pinero Ave., San Juan, PR 00920. The office can be reached at 787-792-2155 (phone) or 787-782-0714 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104911668 directly on the NPPES registry website.

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