MEDICARE: DR. GELSYS SIMON DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN17332	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629154299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GELSYS SIMON DMD

Provider Business Mailing Address
First Line	:	5971 SW 14TH ST
Second Line	:
City	:	WEST MIAMI
State	:	FL
Zip	:	33144-5745
Country	:	US
Telephone Number	:	305-240-3007
Fax Number	:

Provider Business Practice Location Address
First Line	:	4564 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3325
Country	:	US
Telephone Number	:	305-558-2446
Fax Number	:	305-558-1811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	09/08/2014

Similar Medicare Providers

1598705006 — MON ORTHOPEDIC INC
Practice Location Address:

4258 W 12 AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-821-6181
Practice Fax: 305-835-0013

1962413385 — DANIEL J BASULTO MD
Practice Location Address:

4578 W 12TH AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-828-1989
Practice Fax: 305-558-7397

1396846473 — LAS AMERICAS PARMACY CORP.
Practice Location Address:

4544 W 12TH AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-828-3388
Practice Fax: 305-828-3377

1972651164 — DR. LUANA CARCASSONI M.D.
Practice Location Address:

4578 W 12TH AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-538-5239
Practice Fax:

1679627772 — DALUZ OPTICAL AND SUPPLIES INC
Practice Location Address:

4528 W 12TH AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-557-6777
Practice Fax:

1013244755 — MARLENE CHRIS MACHADO PA-C
Practice Location Address:

4578 W 12TH AVE
HIALEAH, FL
33012-3325

Practice Phone: 53-828-1989
Practice Fax:

Directions to “ DR. GELSYS SIMON DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.