JHEZANUEL CAROLINA GONCALVES CORDERO (NPI# 1477979557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477979557 |
| Entity Type | Individual |
| Full Name | JHEZANUEL CAROLINA GONCALVES CORDERO |
| Credential | DMD |
| Practice Address |
19913 Biscayne Blvd Aventura FL 33180 |
| Mailing Address |
19913 Biscayne Blvd Aventura FL 33180-2024 |
| Practice Telephone | 3059351400 |
| Mailing Telephone | 3059351400 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
23722 | FL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
058109 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6907 43rd Ave Ste C1, Woodside, NY 113779101 | 7188986010 |
| Street Address |
19913 BISCAYNE BLVD |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632841 | Southeast Florida Dental Group | Dentist | 17971 Biscayne Blvd Ste 101, Aventura, FL 33160-2531 | 2020-06-08 |
| 1396382214 | Dr Z Smiles Inc | Dentist | 2999 Ne 191st St Ste 602, Aventura, FL 33180-3385 | 2019-12-10 |
| 1134519689 | Frost Dental Center Corp | Dentist | 17501 Biscayne Blvd Ste 570, Aventura, FL 33160-4810 | 2015-02-04 |
| 1366726267 | Aicel Carbonero | Dentist | 2797 Ne 207th St Ste 100, Aventura, FL 33180-1471 | 2011-10-11 |
| 1124300751 | Alberto J Lamberti | Dentist | 20281 E Country Club Dr Apt 405, Aventura, FL 33180-3025 | 2011-09-09 |
| 1235435553 | Carlos Manuel Delgado | Dentist | 3000 Ne 190th St Apt 106, Aventura, FL 33180-3180 | 2011-02-03 |
| 1962716464 | Rosenstein and Gartner Dentistry, Pllc | Dentist | 20803 Biscayne Blvd Ste 306, Aventura, FL 33180-1435 | 2010-07-27 |
| 1558537589 | Christian Guillermo Gonzalez | Dentist | 3020 Marcos Dr Apt S611, Aventura, FL 33160 | 2008-04-30 |
| 1265602031 | Daniella Salomon | Dentist | 3775 Ne 209th Ter, Aventura, FL 33180-3769 | 2008-03-07 |
| 1497945083 | Paola Marcela Correa | Dentist | 19101 Mystic Pointe Dr Apt 1102, Aventura, FL 33180 | 2007-07-30 |
| Find all providers in AVENTURA | ||||
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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.