Healthcare Provider Details

I. General information

NPI: 1225820319
Provider Name (Legal Business Name): ADONIS GONZALEZ YERA DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 S OLD DIXIE HWY STE 2
JUPITER FL
33458-7487
US

IV. Provider business mailing address

8285 PARK BLVD APT 3209
MIAMI FL
33126-8037
US

V. Phone/Fax

Practice location:
  • Phone: 561-748-4488
  • Fax: 561-748-7849
Mailing address:
  • Phone: 786-709-8378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30321
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: