GONZALEZ DENTAL LAB (NPI# 1093188856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093188856 |
| Entity Type | Organization |
| Organization Name | GONZALEZ DENTAL LAB |
| Practice Address |
921 Sw 122nd Ave Miami FL 33184-2477 |
| Mailing Address |
1065 Nw 129th Ave Miami FL 33182-2324 |
| Practice Telephone | 3059751292 |
| Mailing Telephone | 3059751292 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |
| Authorized Official Name | MR. PEDRO P GONZALEZ (OWNER) |
| Authorized Official Telephone | 3059751292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | DL 11401 | FL | Laboratories |
| Street Address |
921 SW 122ND AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33184-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657867 | Aime Nunez | Behavior Technician | 1205 Sw 136th Place, Miami, FL 33184 | 2020-07-30 |
| 1518575067 | Psych Healing Institute LLC | Community/Behavioral Health | 12542 Sw 8th Street, Miami, FL 33184 | 2020-07-21 |
| 1972139293 | Mavis Mendive De La Torre | Behavior Technician | 13797 Sw 14 St, Miami, FL 33184 | 2020-03-18 |
| 1902376544 | Kenia Roque | Behavior Technician | 11890 Sw 8 St Suite 309, Miami, FL 33184 | 2018-11-27 |
| 1205322179 | Yolaxis Alvarez | Case Manager/Care Coordinator | 931 Sw 122 Ave, Miami, FL 33184 | 2018-07-03 |
| 1265922819 | Expedited Medical Supplies Corp | Durable Medical Equipment & Medical Supplies | 12206 Sw 8th St, Suite 157, Miami, FL 33184 | 2018-05-18 |
| 1144728056 | Liz G San Martin | Nurse Practitioner | 1019 Sw 137th Pl, Miami, FL 33184 | 2018-01-25 |
| 1699280222 | Lourdes Castillo | Behavior Technician | 12015 Sw 14th St, Suite 310c, Miami, FL 33184 | 2017-12-05 |
| 1972014892 | Lisandra Lastra | Behavior Technician | 13803 Sw 9th St, Miami, FL 33184 | 2017-10-18 |
| 1265941991 | Ileana Beltran | Behavior Technician | 12010 Sw 2nd St, Miami, FL 33184 | 2017-09-26 |
| Find all providers in zip 33184 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922552777 | Miami Dental Lab Associates,inc | Dental Laboratory | 3430 Sw 8th St, Miami, FL 33135-4108 | 2016-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274914 | Jeremiah Holder, Inc. | Dental Laboratory | 1365 Henley St Apt 504, Naples, FL 34105-4865 | 2020-07-31 |
| 1902140809 | Knight Dental Group | Dental Laboratory | 3659 Tampa Rd, Oldsmar, FL 34677-6307 | 2012-11-15 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| 1043478860 | Gabriela Gomez | Dental Laboratory | 1242 Salt Clay Ct, Wesley Chapel, FL 33544-6634 | 2008-05-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.