Active NPI
Jaime Luis Gonzalez, MSW
- Social Worker
- Manati, PR
National Provider Identifier
1215255492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2190
- Practice address
- 51 Bo Palo Alto
Manati, PR 00674-6903 - Phone
- (787) 317-9786
- Fax
- (787) 780-1674
- NPI assigned
- May 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2190 | PR | Primary |
Addresses
Primary practice location
51 Bo Palo Alto
Manati, PR 00674-6903
Mailing address
PO Box 207
Manati, PR 00674-0207
Phone (787) 317-9786
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2190 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1215255492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "MANATI",
"state": "PR",
"postal_code": "006740207",
"telephone_number": "787-317-9786",
"fax_number": "787-780-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 BO PALO ALTO",
"city": "MANATI",
"state": "PR",
"postal_code": "006746903",
"telephone_number": "787-317-9786",
"fax_number": "787-780-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JAIME",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "2190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.