Individual provider Active NPI

Daiana Fernandez Gonzalez, MD

  • Pediatrics Physician
  • Ponce, PR
National Provider Identifier
1346312246
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9545 Issued in PR
Practice address
1203 Ave Munoz Rivera
Villa Mrillasca
Ponce, PR 00717-0634
Phone
(787) 843-4588
Fax
(787) 840-0907
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9545 PR Primary
Pediatrics Physician 208000000X 72131 FL
Pediatrics Physician 208000000X 11087R LA
General Practice Physician 208D00000X 9545 PR
General Practice Physician 208D00000X 72131 FL
General Practice Physician 208D00000X 11087R LA

Addresses

Primary practice location

1203 Ave Munoz Rivera
Villa Mrillasca
Ponce, PR 00717-0634

Mailing address

PO Box 7301
Ponce, PR 00732-7301

Other identifiers 5

IdentifierTypeStateIssuer
83042OtherTRIPLE S
3871OtherIMC
3648OtherPREFERRED HEALTH CHOICE
584041125OtherCOSVI
203741OtherPREFERRED HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110622000692 PR Practitioner - General Practice 1557549508 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Ponce School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1203 Ave Munoz Rivera
Ponce, PR 00717-0634
Phone (787) 843-4588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72131FLMDGeneral Practice Physician
11087RLAMDGeneral Practice Physician
9545PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephromed, LLC PastSince Feb 23, 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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1346312246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7301",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 AVE MUNOZ RIVERA",
            "address_2": "VILLA MRILLASCA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170634",
            "telephone_number": "787-843-4588",
            "fax_number": "787-840-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ GONZALEZ",
        "first_name": "DAIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "9545",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "72131",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "11087R",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9545",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "72131",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "11087R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "83042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "3871",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH CHOICE",
            "identifier": "3648",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI",
            "identifier": "584041125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "203741",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.