Active NPI
Kelvin Perez Gonzalez
- Pharmacist
- Penuelas, PR
National Provider Identifier
1114649472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7037
- Practice address
- 175 Carretera PR 385
Penuelas, PR 00624 - Phone
- (787) 836-1123
- NPI assigned
- Sep 14, 2022
- Last updated
- Sep 14, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7037 | PR | Primary |
Addresses
Primary practice location
175 Carretera PR 385
Penuelas, PR 00624
Mailing address
66 Calle Serafin Mendez
Moca, PR 00676-5211
Phone (787) 642-0022
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7037 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1114649472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 CALLE SERAFIN MENDEZ",
"city": "MOCA",
"state": "PR",
"postal_code": "006765211",
"telephone_number": "787-642-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CARRETERA PR 385",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "787-836-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ GONZALEZ",
"first_name": "KELVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "7037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penuelas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.