Active NPI
Joselyn De Jesus-Gonzalez
- Student in an Organized Health Care Education/Training Program
- Tampa, FL
National Provider Identifier
1104518786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 17 Davis Blvd Ste 308E
Tampa, FL 33606-3438 - Phone
- (813) 974-2201
- NPI assigned
- May 23, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PR | Primary |
Addresses
Primary practice location
17 Davis Blvd Ste 308E
Tampa, FL 33606-3438
Mailing address
PO Box 7004
Ponce, PR 00732-7004
Other practice location 1
Pshu 388 Zona Industrial Reparada 2
Ponce, PR 00716
Phone (787) 840-2575
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1104518786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7004",
"city": "PONCE",
"state": "PR",
"postal_code": "007327004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 DAVIS BLVD STE 308E",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063438",
"telephone_number": "813-974-2201"
}
],
"practiceLocations": [
{
"address_1": "PSHU 388 ZONA INDUSTRIAL REPARADA 2",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "00716",
"country_code": "US",
"telephone_number": "787-840-2575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE JESUS-GONZALEZ",
"first_name": "JOSELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-23",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.