Nanette L Gonzalez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

13443 Issued in PR

Practice address

252 Calle San Jorge
Suite 406 San Jorge Medical Office
San Juan, PR 00912-3310

Phone

(787) 726-0210

Fax

(787) 728-5136

NPI assigned

Jun 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sjcngonza@yourcarecommunity.org

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.

• Grupo Intensivo Pediatrico de San Juan

  • Pediatric Critical Care Medicine Physician
  • San Juan, PR
  • NPI 1477537892
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346286408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LAS VEREDAS 169",
            "address_2": "LAS VEREDAS DE LAS PALMAS",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007789680",
            "telephone_number": "787-616-7287",
            "fax_number": "787-728-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE",
            "address_2": "SUITE 406 SAN JORGE MEDICAL OFFICE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123310",
            "telephone_number": "787-726-0210",
            "fax_number": "787-728-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NANETTE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "13443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "20430",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melva N Gonzalez, MD
• Michelle Marie Gonzalez, MD
• Miguel Angel Gonzalez, MD
• Mitzi M. Gonzalez, D.M.D.
• Mitzy M Gonzalez
• Natalia Cristina Gonzalez
• Nestor Manuel Gonzalez, MD
• Norma Jean Gonzalez, R.PH.
• Omayra L Gonzalez, MD
• Patricia Sofia Gonzalez

• All providers in San Juan, PR
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.