Medicina Familiar Johannie Gonzalez MD LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDICINA FAMILIAR JOHANNIE GONZALEZ MD LLC

Practice address

Bo Bayaney
Carr 129 KM 13.6
Hatillo, PR 00659

Phone

(787) 317-7196

NPI assigned

Sep 30, 2020

Organization subpart

No

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

Authorized official

Name

Johannie Gonzalez

Title

President

Phone

(787) 820-8334

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1124635453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 20416",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006128126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO BAYANEY",
            "address_2": "CARR 129 KM 13.6",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-317-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINA FAMILIAR JOHANNIE GONZALEZ MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOHANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-820-8334"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yanaisha Medina-Garcia, RN BSN
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• Michelle Marie Medina, D.C.

• General Practice Physician in Hatillo, PR
• Providers in Hatillo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.