DR. GONZALO CORTES (NPI# 1740480417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740480417 |
| Entity Type | Individual |
| Full Name | DR. GONZALO CORTES |
| Credential | D.M.D |
| Practice Address |
1708 N Federal Hwy Lake Worth FL 33460-6668 |
| Mailing Address |
8051 Sw 136th Ct Miami FL 33183-4186 |
| Practice Telephone | 5615882025 |
| Practice Fax Number | 5615882024 |
| Mailing Telephone | 9546001382 |
| Mailing Fax Number | 3053824952 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2014-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN16953 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 076972000 | 05 |
| Street Address |
1708 N FEDERAL HWY |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33460-6668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457822371 | Daniela Loebl | Dentist | 1708 N Federal Hwy, Lake Worth, FL 33460-6668 | 2018-12-17 |
| 1073874723 | Little Smiles Dentaloffice #4 | Clinic/Center | 1708 N Federal Hwy, Lake Worth, FL 33460-6668 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069694 | Soma Medical Center, P.a. | Internal Medicine | 330 South Dixie Hway, Lake Worth, FL 33460 | 2020-03-25 |
| 1659920072 | Dr G's Pharmacy, Inc | Pharmacy | 127 N Dixie Highway, Lake Worth, FL 33460 | 2019-09-09 |
| 1710542428 | Paul Robert Ahr | Psychologist | 702 N. Lakeside Drive, Lake Worth Beach, FL 33460 | 2019-05-08 |
| 1548732985 | Pickens Allison Gantt IIi | Acupuncturist | 1505 N Federal Hwy, Lake Worth, FL 33460 | 2018-12-26 |
| 1992297634 | Awilda Theodore | Homemaker | 824a Lake Ave, #309, Lake Worth, FL 33460 | 2018-05-30 |
| 1326562646 | Candy Marie Contrerez | Behavior Technician | 1306 S H St, Lake Worth, FL 33460 | 2017-07-28 |
| 1679003602 | Sylvia Grant | Registered Nurse | 919 12th Ave S, Lake Worth, FL 33460 | 2017-06-13 |
| 1720510662 | Jessica Montanez | Technician, Other | 1831 17th Court N, Lake Worth, FL 33460 | 2017-03-30 |
| 1629209630 | Emilia Isaza | Dentist | 325 S. Dixie Hwy, Suite #5, Lake Worth, FL 33460 | 2009-08-07 |
| 1174767909 | Cameron Bishop | Acupuncturist | 1505 North Federal Highway, Lake Worth, FL 33460 | 2009-04-23 |
| Find all providers in zip 33460 | ||||
| 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 |
|---|---|---|---|---|
| 1740626118 | Sarah Lee Shin-kim | Dentist | 7109 Navajo Trl, Lake Worth, TX 76135-3946 | 2013-05-13 |
| 1689611527 | E. Dale Martin, D.d.s., M.s.d., P.C. | Dentist | 3904 Boat Club Rd, Lake Worth, TX 76135-3201 | 2006-05-31 |
| 1104450121 | Lw Pediatric Dentistry Pa | Dentist | 6910 Lake Worth Rd, Lake Worth, FL 33467-2978 | 2020-02-28 |
| 1235217571 | Victor Raul Oramas | Dentist | 6169 Jog Rd, Suite B-5, Lake Worth, FL 33467-6579 | 2006-11-02 |
| 1215034962 | Fara Bender | Dentist | 6169 Jog Rd, Suite B-5, Lake Worth, FL 33467-6579 | 2006-09-17 |
| 1144261975 | Eddy Dale Martin | Dentist | 3904 Boat Club Rd, Lake Worth, TX 76135-3201 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113296 | Pediatric Dental Center of Gardens Inc | Dentist | 18244 Nw 27th Ave, Miami Gardens, FL 33056-3501 | 2020-10-27 |
| 1205446598 | Harp Pediatric Dentistry | Dentist | 31067 Us Highway 19 N, Palm Harbor, FL 34684-4416 | 2020-08-03 |
| 1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
| 1710595509 | Bright Smiles Pediatric Dentistry Nassau LLC | Dentist | 960135 Gateway Blvd, Fernandina Beach, FL 32034-9120 | 2020-07-17 |
| 1578180097 | Juliana Grace Fitzgerald | Dentist | 7505 Grand Lely Dr Bldg 1, Naples, FL 34113-1753 | 2020-06-30 |
| 1861012569 | Toni-marie Small | Dentist | 12625 76th Rd N, West Palm Beach, FL 33412-2259 | 2020-04-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1114573086 | Kids Dentist LLC | Dentist | 8058 W Mcnab Rd, North Lauderdale, FL 33068-4254 | 2019-08-15 |
| 1558915157 | Dentistry for Children of Florida, Pllc | Dentist | 3021 Airport Rd N Ste 203, Naples, FL 34105-3077 | 2019-07-31 |
| 1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WORTH |
| Zip Code | 33460 |
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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.