Active NPI
Edith M Gonzalez
- Occupational Therapist
- San Juan, PR
National Provider Identifier
1346453602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 397
- Practice address
- Hosp Psiquiatria
Dr Ramon Fernandez Marina
San Juan, PR 00922 - Phone
- (787) 766-4646
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 397 | PR | Primary |
Addresses
Primary practice location
Hosp Psiquiatria
Dr Ramon Fernandez Marina
San Juan, PR 00922
Mailing address
HC 01 Box 4319
Gurabo, PR 00778
Phone (787) 690-1065
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 |
|---|---|---|---|
| 397 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346453602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 01 BOX 4319",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-690-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSP PSIQUIATRIA",
"address_2": "DR RAMON FERNANDEZ MARINA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00922",
"telephone_number": "787-766-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "EDITH",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- 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.