DR. NELSON MARTIN GUMUCIO D.D.S. NPI 1306902325

NPI Information

  • NPI: 1306902325
  • Provider Name: DR. NELSON MARTIN GUMUCIO, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13005 SOUTHERN BLVD
    SUITE # 143
    LOXAHATCHEE, FL
    ZIP 33470
  • Phone: (561) 790-5414

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NPI Details

DR. Nelson Martin Gumucio, D.D.S. is a general practice dentist in Loxahatchee, FL. The provider is 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. DR. Nelson Martin Gumucio, D.D.S. NPI is 1306902325. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13005 SOUTHERN BLVD
SUITE # 143
LOXAHATCHEE, FL
ZIP 33470-206
Phone: (561) 790-5414
Fax: (561) 790-1052

The NPI 1306902325 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN9221FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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