Gonzalez Recovery Residences, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

348 Issued in VA

Legal business name

GONZALEZ RECOVERY RESIDENCES, INC.

Practice address

1401 N Pickett St
Alexandria, VA 22304-1401

Phone

(772) 633-1097

Fax

(772) 581-8101

NPI assigned

Sep 20, 2012

Last updated

Sep 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Boris Gonzalez, PHD

Title

Owner/Manager

Phone

(772) 633-1097

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1255682027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OCEAN DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632252",
            "telephone_number": "772-766-0465",
            "fax_number": "772-231-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N PICKETT ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041401",
            "telephone_number": "772-633-1097",
            "fax_number": "772-581-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ RECOVERY RESIDENCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "772-633-1097",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "VA",
            "license": "348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James N Gomez
• Rio Martin Yap Gomez, IDC
• Leslie George Gondor, M.D.
• Christine Rivera Gonzales, MA
• Rebecca Gonzales
• Good Shepherd Nursing and Senior Care Inc (Good Shepherd Health Services)
• Madison P Good, DPT
• Mary Kathleen Goode, RN
• Jennifer Goodrich
• Goodwin House Home and Community Based Services (Goodwin Rehabilitation)

• Substance Abuse Rehabilitation Facility in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Substance Abuse Rehabilitation Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.