Active NPI
Vangie Gonzalez, M.T
- Medical Technologist
- Arecibo, PR
National Provider Identifier
1013131069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 5716
- Practice address
- V1 Calle 16
Urb. Villa Los Santos
Arecibo, PR 00612-3112 - Phone
- (787) 879-1609
- Fax
- (787) 880-3733
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 5716 | PR | Primary |
Addresses
Primary practice location
V1 Calle 16
Urb. Villa Los Santos
Arecibo, PR 00612-3112
Mailing address
Villa Alegria 291
Turquesa
Aguadilla, PR 00603
Phone (787) 882-2107
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5716 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013131069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLA ALEGRIA 291",
"address_2": "TURQUESA",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-882-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "V1 CALLE 16",
"address_2": "URB. VILLA LOS SANTOS",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006123112",
"telephone_number": "787-879-1609",
"fax_number": "787-880-3733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "VANGIE",
"name_prefix": "Miss",
"credential": "M.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "PR",
"license": "5716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.