GABRIEL GODINEZ (NPI# 1760986590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760986590 |
| Entity Type | Organization |
| Organization Name | GABRIEL GODINEZ |
| Other Organization Name | GABRIEL GODINEZ |
| Practice Address |
Blvd Sanchez 9563 - 201 Tijuana BAJA CALIFORNIA 22010 MX |
| Practice Telephone | 6194883200 |
| Practice Fax Number | 8662726924 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | DR. GABRIEL GODINEZ (DENTIST) |
| Authorized Official Telephone | 6194883200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
10301020 | Dental Providers |
| Other Name | Type Code |
|---|---|
| Gabriel Godinez | Former Legal Business Name - Organization |
| Street Address |
BLVD SANCHEZ 9563 - 201 |
| City | TIJUANA |
| State | BAJA CALIFORNIA |
| Zip Code | 22010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720691 | Karla Moreno | Dentist | Blvd Sanchez Taboada 16004-6, Tijuana, BAJA CALIFORNIA 22010 | 2020-11-02 |
| 1972119683 | Pastor G Bojorquez | Dentist | 1511 Blvd Sanchez Taboada, Tijuana, BAJA CALIFORNIA 22010 | 2020-09-17 |
| 1447876321 | Ana Karen Vargas | Dentist | Blvd General Abelardo L Rodriguez 10 Ste 306 Zona Urban, Tijuana, BAJA CALIFORNIA 22010 | 2020-06-17 |
| 1699314625 | Jonathan Calleros | Dentist | Paseo De Los Heroes 9211 Ste 110, Tijuana, BAJA CALIFORNIA 22010 | 2019-12-20 |
| 1174161327 | Lizette Espinosa | Dentist | Paseo De Los Herores 304, Tijuana, BAJA CALIFORNIA 22010 | 2019-12-18 |
| 1629616875 | Fernando Vazquez | Dentist | Abelardo L Rodriguez 2916 D, Tijuana, BAJA CALIFORNIA 22010 | 2019-12-18 |
| 1457999757 | Elsa C Aragon | Dentist | Blvd Cuauhtemoc 22016, Tijuana, BAJA CALIFORNIA 22010 | 2019-12-17 |
| 1841834348 | Adriana A. Mercado C. | Dentist | C. Luis Cabrera 2071-301, Zona Urbana Rio Tijuana, Tijuanna, BAJA CALIFORNIA 22010 | 2019-10-29 |
| 1548803554 | Hospital Mexico De Bc Sa De Cv | Dentist | Paseo Tijuana No. 9077 Col. Empleados, Tijuana, BAJA CALIFORNIA 22010 | 2019-10-22 |
| 1649811704 | Karla Bonilla | Dentist | Jose Clemente Orozco 2230, Tijuana, BAJA CALIFORNIA 22010 | 2019-09-30 |
| Find all providers in zip 22010 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119683 | Pastor G Bojorquez | Dentist | 1511 Blvd Sanchez Taboada, Tijuana, BAJA CALIFORNIA 22010 | 2020-09-17 |
| 1649783796 | Flavio A. Valdez | Dentist | 7th St #7767 Downtown, Ste A, Tijuana, BAJA CALIFORNIA 22000 | 2017-11-13 |
| 1245509793 | Jorge Quintanilla K. | Dentist | 2613 Jm Velasco St, Suite 301, Tijuana, BC 22000 | 2011-12-28 |
| 1053680504 | Amelia Quintanilla | Dentist | 10122 J Clemente Orozco St, Suite Ph 3, Tijuana, BC 220001 | 2011-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679087670 | Lilia Camacho Rascon D.d.s. | Dentist | Ave. Marinao Lee, Los Algodones, BAJA CALIFORNIA 21970 | 2017-11-29 |
| 1073024303 | Laura Ivonne Rendon | Dentist | 149 Calle 4, Los Algodones, BAJA CALIFORNIA 21970 | 2017-10-13 |
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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.