NPIMap

Individual provider Active NPI

Maria Ivette Gonzalez, M.D.

  • Ph.D. Medical Genetics
  • Aguadilla, PR
National Provider Identifier
1033180179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
4225 Issued in PR
Practice address
179 Calle San Rafael
Aguadilla, PR 00603-5877
Phone
(787) 894-3226
Fax
(787) 650-7304
NPI assigned
Jan 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X 4225 PR Primary

Addresses

Primary practice location

179 Calle San Rafael
Aguadilla, PR 00603-5877

Mailing address

PO Box 250144
Ramey
Aguadilla, PR 00604-0144
Phone (787) 894-3226

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4225PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Susoni Health Community Services Corp Past Accepting new patients
Policlinica del Atlantico, Corp. Past Accepting new patients
San Gerardo Medical Center CSP Past Accepting new patients
Policlinica del Atlantico, Corp. Past Accepting new patients
Dr Susoni Health Community Services Corp Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033180179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250144",
            "address_2": "RAMEY",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040144",
            "telephone_number": "787-894-3226",
            "fax_number": "787-650-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 CALLE SAN RAFAEL",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035877",
            "telephone_number": "787-894-3226",
            "fax_number": "787-650-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIA",
        "middle_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "PR",
            "license": "4225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, 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.

Verify at the official NPI Registry.