Jonathon Jacob Gonzales

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5217753 Issued in FL

Practice address

900 Osceola Dr # 108
West Palm Beach, FL 33409-5000

Phone

(833) 772-1295

Fax

(561) 532-0050

NPI assigned

Nov 7, 2023

Sex

Male

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1326811720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OSCEOLA DR # 108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095000",
            "telephone_number": "833-772-1295",
            "fax_number": "561-532-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OSCEOLA DR # 108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095000",
            "telephone_number": "833-772-1295",
            "fax_number": "561-532-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JONATHON",
        "middle_name": "JACOB",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5217753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendoly Gomez
• Yucsel Gongora Leyva
• Alina Gongora
• Shawna Gontran
• Mark Gonwa, MD
• Yanier Gonzalez Abdala
• Maikely Gonzalez Alvarez
• Betsy Gonzalez Antelo
• Tiffany Virginia Gonzalez Arellano
• Madelaine Gonzalez Cabrales

• Licensed Practical Nurse in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.