Provider Demographics
NPI:1881588630
Name:GONZALEZ BRITO, ROCIO LISSETE
Entity type:Individual
Prefix:
First Name:ROCIO
Middle Name:LISSETE
Last Name:GONZALEZ BRITO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9280 SW 38TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4144
Mailing Address - Country:US
Mailing Address - Phone:786-767-1856
Mailing Address - Fax:
Practice Address - Street 1:1440 NW NORTH RIVER DR STE 345
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-2894
Practice Address - Country:US
Practice Address - Phone:786-353-9887
Practice Address - Fax:786-320-6281
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant