Jamiley Gonzalez

Primary specialty

ContractorTaxonomy code 171W00000X

License

10805029 Issued in AZ

Practice address

3786 E Felix Blvd
Tucson, AZ 85706-1926

Phone

(520) 406-5048

Fax

(520) 407-5398

NPI assigned

Mar 31, 2021

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1376121384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86537",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857546537",
            "telephone_number": "520-721-1887",
            "fax_number": "520-407-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 E FELIX BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857061926",
            "telephone_number": "520-406-5048",
            "fax_number": "520-407-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JAMILEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "10805029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPEUTIC FOSTER CARE",
            "identifier": "10805029",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Annette Gonzalez
• Dominique Marilyn Gonzalez
• Erica Esther Gonzalez, MD
• Guillermo Gonzalez, M.D.
• Isabella Victoria Gonzalez
• Jennifer Kiara Gonzalez
• Jesus Gonzalez, LCSW
• Juan Manuel Gonzalez, CRNA
• Keith Orlando Gonzalez, M.D.
• Mahdevi C Gonzalez, BA

• Contractor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.