Individual provider Active NPI

Dorabelle Gonzalez, M.D.

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1043408750
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5557 Issued in PR
Practice address
Corporacion del Fondo del Seguro del Estado
Ave. Miramar Carr. #2 KM. 78.7
Arecibo, PR 00614-4055
Phone
(787) 878-5757
Fax
(787) 817-3557
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5557 PR Primary

Addresses

Primary practice location

Corporacion del Fondo del Seguro del Estado
Ave. Miramar Carr. #2 KM. 78.7
Arecibo, PR 00614-4055

Mailing address

PO Box 144055
Ave. Miramar Carr. #2 KM. 78.7
Arecibo, PR 00614-4055
Phone (787) 878-5757

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5557PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1043408750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144055",
            "address_2": "AVE. MIRAMAR CARR. #2 KM. 78.7",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006144055",
            "telephone_number": "787-878-5757",
            "fax_number": "787-817-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORPORACION DEL FONDO DEL SEGURO DEL ESTADO",
            "address_2": "AVE. MIRAMAR CARR. #2 KM. 78.7",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006144055",
            "telephone_number": "787-878-5757",
            "fax_number": "787-817-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DORABELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5557",
            "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 Oct 9, 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.