Provider Demographics
NPI:1225820319
Name:GONZALEZ YERA, ADONIS (DMD)
Entity type:Individual
Prefix:
First Name:ADONIS
Middle Name:
Last Name:GONZALEZ YERA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8285 PARK BLVD APT 3209
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-8037
Mailing Address - Country:US
Mailing Address - Phone:786-709-8378
Mailing Address - Fax:
Practice Address - Street 1:275 S CHICKASAW TRL STE 2
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3505
Practice Address - Country:US
Practice Address - Phone:407-434-0243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30321122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist