DR. MANUEL A GONZALEZ (NPI# 1821066812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821066812 |
| Entity Type | Individual |
| Full Name | DR. MANUEL A GONZALEZ |
| Credential | DMD |
| Practice Address |
601 Calle Lodi Villa Capri San Juan PR 00924-3844 |
| Practice Telephone | 7877557802 |
| Practice Fax Number | 7877558618 |
| Mailing Telephone | 7877557802 |
| Mailing Fax Number | 7877558618 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2015-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
835 | PR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801193701 | Manuel Octavio Gonzalez | Internal Medicine | 6050 W 20th Ave Fl 3, Hialeah, FL 33016-2605 | 2011-02-12 |
| 1730419409 | Manuel G Gonzalez | Massage Therapist | 1820 W 53rd St, Apt 403, Hialeah, FL 33012-2164 | 2010-01-02 |
| 1356584361 | Manuel D. Gonzalez | Internal Medicine | 721 N.w 21 Court, Suite 100, Miami, FL 33125 | 2009-04-07 |
| 1538308614 | Manuel Gonzalez Gonzalez | Anesthesiology | 72 Helmsford Way, Penfield, NY 14526-1910 | 2009-02-12 |
| 1497800692 | Manuel D Gonzalez | Optometrist | 11552 Telegraph Rd, Santa Fe Springs, CA 90670-3110 | 2007-01-25 |
| 1710061239 | Manuel J Gonzalez | Surgery | 1101 Corpus Christi St, Laredo, TX 78040-5258 | 2006-10-24 |
| 1215010087 | Manuel Gonzalez | Clinic/Center | Calle Riefkhol 1a, Patillas, PR 00723 | 2006-10-23 |
| 1780640607 | Manuel Gonzalez Jr. | Family Medicine | 7000 Sw 97th Ave Ste 110, Miami, FL 33173-1474 | 2006-04-21 |
| 1457311144 | Manuel Alcides Gonzalez | Dentist | 440 E Westfield Ave Ste 2, Roselle Park, NJ 07204-2452 | 2006-03-25 |
| 1417579921 | Manuel Gonzalez | Behavior Technician | 5753 W 15th Ct, Hialeah, FL 33012-2242 | 2020-05-07 |
| Street Address |
601 CALLE LODI VILLA CAPRI |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00924-3844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497972962 | Maria De Lourdes Ventura | Clinical Medical Laboratory | 601 Calle Lodi, San Juan, PR 00924-3844 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081780 | A R Quinones, Md LLC | Clinic/Center | 939 Campo Rico Ave, San Juan, PR 00924 | 2020-10-21 |
| 1861099947 | Anthony Vives De Leon | Psychologist | Iturregui Plaza Shopping Center, 1135 Avenida 65 De Infanteria, Ste 215-a, San Juan, PR 00924 | 2020-10-02 |
| 1386241537 | Servicios Medicos Dr Alcantara LLC | Clinic/Center | Ave Simon Madera 804 Villa Prades, San Juan, PR 00924 | 2020-10-01 |
| 1124634324 | Kristian Nagel Ortiz Colon | Occupational Therapy Assistant | Villa Capri Verona 1180, San Juan, PR 00924 | 2020-09-22 |
| 1093327439 | Axel David Reyes Vazquez | Student in an Organized Health Care Education/Training Program | Calle Juan Pena Reyes #977, Condominio Sabana Village, San Juan, PR 00924 | 2020-08-18 |
| 1518576370 | Edison Yadiel Martinez Monegro | Student in an Organized Health Care Education/Training Program | Parcelas Falu Calle 36 #304, San Juan, PR 00924 | 2020-07-28 |
| 1851914766 | Jorge Rafael Santiago Jordi | Student in an Organized Health Care Education/Training Program | Madagascar 767 Country Club, San Juan, PR 00924 | 2020-05-26 |
| 1265066120 | Rootcanals To Go Psc | Dentist | Villa Capri, 585 Calle Lodi, San Juan, PR 00924 | 2020-02-28 |
| 1467009688 | Advanced Psychoeducational Services Inc | Psychologist | Avenida 65th Infanteria, Ext San Agustin # 362, San Juan, PR 00924 | 2019-08-22 |
| 1770130361 | Fatima M Martinez | Psychologist | Avenida 65th Infanteria Ext San Agustin, 362, San Juan, PR 00924 | 2019-08-20 |
| Find all providers in zip 00924 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198576 | San Juan Dental Center LLC | Dentist | 456 Calle Cesar Gonzalez, San Juan, PR 00918-2628 | 2018-09-20 |
| 1104364165 | Edinburg Dental, Pllc | Dentist | 423 W Fm 495, San Juan, TX 78589-3717 | 2017-02-09 |
| 1508122094 | Little Manhattan Pediatric Dentistry,pllc | Dentist | 423 W. Highway 495, San Juan, TX 78589-9998 | 2012-04-09 |
| 1295852598 | Escuela De Odontologia | Dentist | Ave Barbosa 608, Clinica Dental Comunitaria Cantera Suite 4, San Juan, PR 00919-1274 | 2007-03-23 |
| 1467594721 | Alexis R. Pagan | Dentist | 253 Calle San Jorge Ste I-a, San Jorge II Medical Building, San Juan, PR 00912-3307 | 2007-02-13 |
| 1003953134 | Rosa M Rodriguez | Dentist | 377 Ave Domenech, San Juan, PR 00918-3721 | 2007-01-30 |
| 1225181266 | University of Puerto Rico Msc | Dentist | Pediatric Dentistry Clinics, Centro Medico, San Juan, PR 00935-0001 | 2007-01-22 |
| 1780736520 | Anabel Noriega | Dentist | 525 F D Roosevelt Ave, Suite 704 Plaza Las Americas Tower, San Juan, PR 00918 | 2007-01-18 |
| 1457415275 | Adolfo Correa-luna | Dentist | 1165 Ave Jesus T Pinero, San Juan, PR 00920-5604 | 2006-12-19 |
| 1083625776 | Sandra Patricia Cerda | Dentist | 281 Ave Jesus T Pinero, Plaza El Amal, Suite 211, San Juan, PR 00927-3901 | 2006-08-10 |
| Find all providers in SAN JUAN | ||||
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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.