Individual provider Active NPI

Vanessa Gonzalez, PHARMD

  • Pharmacist
  • Mayaguez, PR
National Provider Identifier
1336745074
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6793 Issued in PR
Practice address
345 Calle Ramon Emeterio Betances
Mayaguez, PR 00680-0068
Phone
(787) 831-2212
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6793 PR Primary

Addresses

Primary practice location

345 Calle Ramon Emeterio Betances
Mayaguez, PR 00680-0068

Mailing address

PO Box 5103-161
Cabo Rojo, PR 00623
Phone (787) 994-0017

Other practice location 1

Carr. #345 Km. 2.0 Edificio Plaza Monserrate #6
Hormiguero, PR 00660-0066
Phone (787) 849-0747

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
Credentials
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1336745074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5103-161",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-994-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CALLE RAMON EMETERIO BETANCES",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006800068",
            "telephone_number": "787-831-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr. #345 Km. 2.0 Edificio Plaza Monserrate #6",
            "address_purpose": "LOCATION",
            "city": "Hormiguero",
            "state": "PR",
            "postal_code": "006600066",
            "country_code": "US",
            "telephone_number": "787-849-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VANESSA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.