Active NPI
Edmarielis Gonzalez-Gonzalez, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- San Juan, PR
National Provider Identifier
1205332350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 6504
- Practice address
- 10 Calle Casia
San Juan, PR 00921-3200 - Phone
- (787) 641-7582
- NPI assigned
- Apr 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 6504 | PR | Primary |
Addresses
Primary practice location
10 Calle Casia
San Juan, PR 00921-3200
Mailing address
HC 57 Box 12157
Aguada, PR 00602-9860
Phone (939) 246-4055
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)
- Not enrolled
- Credentials
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1205332350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 57 BOX 12157",
"city": "AGUADA",
"state": "PR",
"postal_code": "006029860",
"telephone_number": "939-246-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE CASIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213200",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-GONZALEZ",
"first_name": "EDMARIELIS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PR",
"license": "6504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Luis E Gonzalez-Cognet, DMD
- Juvan David Gonzalez-Colon
- Myrna Gonzalez-Davila
- Maria del Rosario Gonzalez-de-Rivas, M.D.
- Brenda Lizette Gonzalez-Flores, PSYD
- Jose Gilberto Gonzalez-Gonzalez, D.M.D
- Jose Raul Gonzalez-Inclan, M.D.
- Emmanuel Orlando Gonzalez-Irizarry, MD
- Carmen I Gonzalez-Keelan, M.D.
- Carlos M Gonzalez-Lugo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.