Active NPI
Novahealth LLC
- General Practice Physician
- San Juan, PR
National Provider Identifier
1174429393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- NOVAHEALTH LLC
- Practice address
- 435 Ave Ponce de Leon
San Juan, PR 00917-3424 - Phone
- (787) 641-2323
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie C Padin Gonzalez, MD
- Title
- President
- Phone
- (787) 618-4427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
435 Ave Ponce de Leon
San Juan, PR 00917-3424
Mailing address
B4 Calle 1
Hatillo, PR 00659-2307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792022400000",
"number": "1174429393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B4 CALLE 1",
"city": "HATILLO",
"state": "PR",
"postal_code": "006592307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 AVE PONCE DE LEON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009173424",
"telephone_number": "787-641-2323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVAHEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A",
"authorized_official_last_name": "PADIN GONZALEZ",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-618-4427",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.