Provider Demographics
NPI:1902486350
Name:BATISTA GOMEZ, GEANYS (DDS)
Entity type:Individual
Prefix:
First Name:GEANYS
Middle Name:
Last Name:BATISTA GOMEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12538 SW 120TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-9064
Mailing Address - Country:US
Mailing Address - Phone:305-310-0403
Mailing Address - Fax:
Practice Address - Street 1:12538 SW 120TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-9064
Practice Address - Country:US
Practice Address - Phone:786-314-7959
Practice Address - Fax:786-245-6772
Is Sole Proprietor?:No
Enumeration Date:2021-04-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL283581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice