Active NPI
Lynette M Gonzalez
- Pharmacist
- Garrochales, PR
National Provider Identifier
1356673016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5022
- Practice address
- Carr. 682 KM 6.7
Box 542
Garrochales, PR 00652-0542 - Phone
- (787) 878-7608
- Fax
- (787) 846-7076
- NPI assigned
- Feb 5, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5022 | PR | Primary |
Addresses
Primary practice location
Carr. 682 KM 6.7
Box 542
Garrochales, PR 00652-0542
Mailing address
Ave. 65 Infanteria
# 22 Zeno Gandia
Arecibo, PR 00612-3863
Phone (939) 452-6108
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 |
|---|---|---|---|
| 5022 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1356673016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE. 65 INFANTERIA",
"address_2": "# 22 ZENO GANDIA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006123863",
"telephone_number": "939-452-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 682 KM 6.7",
"address_2": "BOX 542",
"city": "GARROCHALES",
"state": "PR",
"postal_code": "006520542",
"telephone_number": "787-878-7608",
"fax_number": "787-846-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LYNETTE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garrochales, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.