Jonathan Gabriel Medina Gonzalez, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

8154 Issued in PR

Practice address

PO Box 309
San Antonio, PR 00690-0309

Phone

(787) 969-6156

NPI assigned

Aug 26, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1376376251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006900309",
            "telephone_number": "787-969-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006900309",
            "telephone_number": "787-969-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA GONZALEZ",
        "first_name": "JONATHAN",
        "middle_name": "GABRIEL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "8154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Hernandez
• Sonia Janette Hernandez, CLINICAL SOCIAL WORK
• David Joel Maldonado Capella
• Maria L Crespo (Laboratorio Clinico San Antonio)
• Maria L Crespo (Laboratorio Clinico Bacteriologico San Antonio)
• Monserrate Medina Rosario
• Edgardo Manuel Montalvo
• Angel M Navedo Frontera, M.D.
• Indhira A. Oliveras, PHARMACY TECNICHIAN
• Optiquette LLC

• Pharmacist in San Antonio, PR
• Providers in San Antonio, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.