Provider Demographics
NPI:1669343760
Name:GONZALEZ RIVERO, YUREMA (DMD)
Entity type:Individual
Prefix:DR
First Name:YUREMA
Middle Name:
Last Name:GONZALEZ RIVERO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:YUREMA
Other - Middle Name:
Other - Last Name:MEIR GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:117 HEATHER CT
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1052
Mailing Address - Country:US
Mailing Address - Phone:305-987-6165
Mailing Address - Fax:
Practice Address - Street 1:746 LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-2385
Practice Address - Country:US
Practice Address - Phone:732-402-6209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI03120600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist