Mariben Reston Geonzon-Gonzales, APRN BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

SP009504 Issued in PA

Practice address

8151 State Rd
Philadelphia, PA 19136-2910

Phone

(215) 685-6988

Fax

(215) 685-7081

NPI assigned

Nov 18, 2008

Last updated

Nov 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1235384215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HEATHER RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822404",
            "telephone_number": "484-461-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8151 STATE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362910",
            "telephone_number": "215-685-6988",
            "fax_number": "215-685-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEONZON-GONZALES",
        "first_name": "MARIBEN",
        "middle_name": "RESTON",
        "name_prefix": "Mrs.",
        "credential": "APRN  BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP009504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Genuario, PHD
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• Sarah Geoghegan
• Georg Associates
• George L Rodriguez MD PC (Injury Rehabilitation Centers of Pennsylvania)
• George L Rodriguez MD PC (Injury Rehabilitation Centers of Pennsylvania)
• George L. Rodriguez, M.D. (Advanced Diagnostics)
• George L. Rodriguez, M.D., P.C. (University Dynamic MRI)

• Acute Care Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Acute Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.