Individual provider Active NPI

Nilmarie Gonzalez

  • Occupational Therapy Assistant
  • Ponce, PR
National Provider Identifier
1336036631
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
001385 Issued in PR
Practice address
139 Calle Villa Ste 113
Ponce, PR 00730-4828
Phone
(787) 709-2765
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 001385 PR Primary

Addresses

Primary practice location

139 Calle Villa Ste 113
Ponce, PR 00730-4828

Mailing address

HC 4 Box 7832
Villalba, PR 00766-9859
Phone (939) 254-6469

Other practice location 1

1349 Calle Salud
Ponce, PR 00717-2017
Phone (787) 840-7747

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

LicenseStateTypeSpecialty
001385PRMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Starbright Academy, LLC Occupational Therapy Assistant PastSince Oct 5, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1336036631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 7832",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669859",
            "telephone_number": "939-254-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CALLE VILLA STE 113",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304828",
            "telephone_number": "787-709-2765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1349 Calle Salud",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007172017",
            "country_code": "US",
            "telephone_number": "787-840-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NILMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PR",
            "license": "001385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.