Ricci Naillil Gonzalez Medina, BS, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

902 Issued in PR

Practice address

1241 Ave Hostos
Ponce, PR 00717-0943

Phone

(787) 673-7700

NPI assigned

Jul 31, 2023

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

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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.

• Enduro Chiropractic & Wellness Center LLC

  • Chiropractor
  • Ponce, PR
  • NPI 1114785060
  Medicare reassignment NPD

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1114609146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB JARDINES DEL CARIBE",
            "address_2": "00-36 CALLE 49",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-673-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 AVE HOSTOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170943",
            "telephone_number": "787-673-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MEDINA",
        "first_name": "RICCI",
        "middle_name": "NAILLIL",
        "name_prefix": "Dr.",
        "credential": "BS, DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Leonellis Gonzalez Herrera
• Quintin Gonzalez Keelan, M.D.
• Lesliann Milagros Gonzalez Laracuente
• Laura Elena Gonzalez Lopez
• Nixalys Gonzalez Martinez, PSY.D
• Radames Gonzalez Olivieri Sr., M.D.
• Stephanie Shani Gonzalez Olivo
• Joanmarie Gonzalez Ortiz
• Ramses V Gonzalez Perez
• Paul Javier Gonzalez Ramirez

• Chiropractor in Ponce, PR
• Providers in Ponce, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.