Active NPI
Jessica Gonzalez, OTL
- Occupational Therapist
- San Sebastian, PR
National Provider Identifier
1366644072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 824
- Practice address
- 10 Ave Americo Estrada Rivera PB
San Sebastian, PR 00685 - Phone
- (939) 271-8172
- NPI assigned
- Jun 4, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 824 | PR | Primary |
Addresses
Primary practice location
10 Ave Americo Estrada Rivera PB
San Sebastian, PR 00685
Mailing address
HC 2 Box 21786
San Sebastian, PR 00685-9240
Phone (787) 407-9396
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 |
|---|---|---|---|
| 824 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1366644072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 21786",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006859240",
"telephone_number": "787-407-9396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 AVE AMERICO ESTRADA RIVERA PB",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "00685",
"telephone_number": "939-271-8172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JESSICA",
"credential": "OTL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2025-06-12",
"certification_date": "2025-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "PR",
"license": "824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.