Johannie Gonzalez Velazquez, LCDA

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1471 Issued in PR

Practice address

536 Ave Victoria
Aguadilla, PR 00603-4623

Phone

(787) 658-6218

Fax

(787) 658-7116

NPI assigned

Dec 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Asociacion de Medicos de Puerto Rico Ms Inc

  • General Practice Physician
  • Aguadilla, PR
  • NPI 1659009298

  Nutritionist

  NPD

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1073150637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 11671",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006768255",
            "telephone_number": "787-617-7144",
            "fax_number": "787-658-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 AVE VICTORIA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006034623",
            "telephone_number": "787-658-6218",
            "fax_number": "787-658-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ VELAZQUEZ",
        "first_name": "JOHANNIE",
        "credential": "LCDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUTRITIONIST / DIETIST",
            "identifier": "1471",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "COMPUTER",
            "affiliation": "N",
            "address_1": "536 Ave Victoria",
            "city": "Aguadilla",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006034623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmen Edeyl Gonzalez Munoz, M.D.
• Gilmar Gonzalez Romero, M.D.
• Sibasky Gonzalez Santos, MD
• Erika N Gonzalez Sosa, MD
• Darleen Gonzalez Valentin, MD
• Migdalia Gonzalez Villarrubia
• Haydee Gonzalez-Acevedo
• Efrain Gonzalez-Grajales
• Arlene Gonzalez, SW
• Carmen M Gonzalez, PHARMACIST

• Nutritionist in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.