Individual provider Active NPI

Denia E. Gonzalez, MD

  • Family Medicine Physician
  • Morovis, PR
National Provider Identifier
1124080718
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12325 Issued in PR
Practice address
2 Patron Street
Morovis, PR 00687
Phone
(787) 862-3000
Fax
(787) 862-2731
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12325 PR Primary

Addresses

Primary practice location

2 Patron Street
Morovis, PR 00687

Mailing address

333 Calle Isla Verde
Urb Villas de la Playa
Vega Baja, PR 00693-6049
Phone (787) 807-6252

Other identifiers 1

IdentifierTypeStateIssuer
8171160OtherTRIPLE SSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426001796 PR Practitioner - Family Practice 4789671405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Morovis Community Health Center, Inc. CurrentSince Jan 31, 2015 Accepting new patients
Morovis Community Health Center, Inc. CurrentSince Jan 31, 2015 Accepting new patients
Morovis Community Health Center Inc Family Medicine Past Accepting new patients

Locations

2 Calle Patron
Morovis, PR 00687
Phone (809) 862-3000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1124080718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CALLE ISLA VERDE",
            "address_2": "URB VILLAS DE LA PLAYA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006936049",
            "telephone_number": "787-807-6252",
            "fax_number": "787-807-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PATRON STREET",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "00687",
            "telephone_number": "787-862-3000",
            "fax_number": "787-862-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DENIA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "8171160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morovis, PR

Sources for this page

Verify at the official NPI Registry.