Active NPI
Luis Manuel Gonzalez, LIENCIADO
- Speech-Language Assistant
- Bayamon, PR
National Provider Identifier
1336668490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 001198
- Practice address
- 2U5 Ave Laurel
Bayamon, PR 00956-3340 - Phone
- (787) 233-2747
- NPI assigned
- Sep 11, 2017
- 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 001198 | PR | Primary |
Addresses
Primary practice location
2U5 Ave Laurel
Bayamon, PR 00956-3340
Mailing address
100 Calle 220 Apt 109
Carolina, PR 00982-2802
Phone (787) 233-2747
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 |
|---|---|---|---|
| 001198 | PR | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Terapeutico Multidisciplinario Cari | Single Specialty | Current | Accepting new patients |
Locations
2U5 Ave Laurel
Bayamon, PR 00956
Phone (787) 233-2747
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": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505088000000",
"number": "1336668490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CALLE 220 APT 109",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009822802",
"telephone_number": "787-233-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2U5 AVE LAUREL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009563340",
"telephone_number": "787-233-2747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LUIS",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "LIENCIADO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-11",
"last_updated": "2017-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "PR",
"license": "001198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.