Active NPI
Joel Gonzalez
- General Practice Physician
- Santurce, PR
National Provider Identifier
1013064500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14730
- Practice address
- Calle Cerra Final 900
Centro Dr. Gualberto Rabell
Santurce, PR 00907 - Phone
- (787) 723-1360
- Fax
- (787) 723-6247
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14730 | PR | Primary |
Addresses
Primary practice location
Calle Cerra Final 900
Centro Dr. Gualberto Rabell
Santurce, PR 00907
Mailing address
PO Box 366794
San Juan, PR 00936-6794
Phone (939) 640-9559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14730 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299456000000",
"number": "1013064500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366794",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009366794",
"telephone_number": "939-640-9559",
"fax_number": "787-761-8187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE CERRA FINAL 900",
"address_2": "CENTRO DR. GUALBERTO RABELL",
"city": "SANTURCE",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-723-1360",
"fax_number": "787-723-6247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JOEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2011-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santurce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.