Active NPIIndividual provider

Dr. Mardily Gonzalez, DMD

Dentist, General Practice in San Juan, Puerto Rico

NPI Number1497721310
Practice location
255 Calle Eleonor Roosevelt, San Juan, PR 00918-2806
Fax
787-763-9587
Last updated
July 13, 2026

Mardily Gonzalez is a Dentist, General Practice based in San Juan, PR. Mardily Gonzalez practices in San Juan, PR and has the professional credentials of DMD. The NPI Number for Mardily Gonzalez is 1497721310 and holds a License No. 2658 (PR). The current practice location address for Mardily Gonzalez is 255 Calle Eleonor Roosevelt, San Juan, PR 00918-2806 and can be reached out via phone at 787-763-9190 and via fax at 787-763-9587.

Provider Profile Details

NPI Number
1497721310
Provider Name
Mardily Gonzalez
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
255 Calle Eleonor Roosevelt, San Juan, PR 00918-2806
Phone Number
787-763-9190
Fax Number
787-763-9587
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
February 28, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Calle Eleonor Roosevelt
San Juan, PR 00918-2806
Zip
00918-2806
Phone Number
787-763-9190
Fax Number
787-763-9587
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
Po Box 195015
San Juan, PR 00919-5015
City
San Juan
State
PR
Zip
00919-5015
Phone Number
787-763-9190
Fax Number
787-763-9587

License Information

License Number
2658
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. Mardily Gonzalez, DMD?

The NPI number of Dr. Mardily Gonzalez, DMD is 1497721310. It was assigned on February 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mardily Gonzalez, DMD?

Dr. Mardily Gonzalez, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 2658.

Where does Dr. Mardily Gonzalez, DMD practice?

The practice location is 255 Calle Eleonor Roosevelt, San Juan, PR 00918-2806. The office can be reached at 787-763-9190 (phone) or 787-763-9587 (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 1497721310 directly on the NPPES registry website.

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