Individual provider Active NPI

Ramon Fernando Gonzalez Garcia, D.D.S.

  • General Practice Dentistry
  • Rio Piedras, PR
National Provider Identifier
1174645766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2185 Issued in PR
Practice address
1162 Calle Brumbaugh
Urb. Garcia Ubarri
Rio Piedras, PR 00925-3608
Phone
(787) 753-9443
NPI assigned
Apr 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2185 PR Primary

Addresses

Primary practice location

1162 Calle Brumbaugh
Urb. Garcia Ubarri
Rio Piedras, PR 00925-3608

Mailing address

87 Carr 20 Apt 602
Guaynabo, PR 00966-4041
Phone (787) 774-0815

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

State licenses

LicenseStateTypeSpecialty
2185PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174645766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 CARR 20 APT 602",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009664041",
            "telephone_number": "787-774-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 CALLE BRUMBAUGH",
            "address_2": "URB. GARCIA UBARRI",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009253608",
            "telephone_number": "787-753-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GARCIA",
        "first_name": "RAMON",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.