Individual provider Active NPI

Ameilyn E Gonzalez, OTL

  • Occupational Therapist
  • Camuy, PR
National Provider Identifier
1164794459
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
935 Issued in PR
Practice address
A17 Urb El Maestro
Camuy, PR 00627-2708
Phone
(787) 356-3177
NPI assigned
Feb 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 935 PR Primary

Addresses

Primary practice location

A17 Urb El Maestro
Camuy, PR 00627-2708

Mailing address

PO Box 140294
Arecibo, PR 00614-0294
Phone (787) 356-3177

Other identifiers 1

IdentifierTypeStateIssuer
935OtherPROTL

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1164794459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140294",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140294",
            "telephone_number": "787-356-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A17 URB EL MAESTRO",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272708",
            "telephone_number": "787-356-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AMEILYN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTL",
            "identifier": "935",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.