Christina Nicole Gonzalez

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

SI4903 Issued in FL

Practice address

13605 Granger Ave
Orlando, FL 32827-7264

Phone

(954) 298-4493

NPI assigned

Jun 23, 2021

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1194394155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13605 GRANGER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277264",
            "telephone_number": "954-298-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 GRANGER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277264",
            "telephone_number": "954-298-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "SI4903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Orlando",
            "affiliation": "N",
            "address_1": "13605 Granger Ave",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328277264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arnaldo Gonzalez, APRN
• Cely Marie Gonzalez, MS
• Chad Gonzalez, M.D.
• Christian Gonzalez
• Christina J Gonzalez, ARNP
• Claudia Gonzalez
• Dana Gonzalez
• Daniel Gonzalez, ATC
• Dayanara Gonzalez
• Daylin Gonzalez

• Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.