Individual provider Active NPI

Ana Evelyn Gonzalez-Gomez

  • Registered Nurse
  • Ponce, PR
National Provider Identifier
1386050300
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
008562 Issued in PR
Practice address
8169 Calle Concordia
Suite 412 Cond. San Vicente
Ponce, PR 00716-1567
Phone
(787) 284-5884
NPI assigned
Jul 10, 2014
Last updated
Jul 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 008562 PR Primary

Addresses

Primary practice location

8169 Calle Concordia
Suite 412 Cond. San Vicente
Ponce, PR 00716-1567

Mailing address

#78 Calle Cedro
Urb. Praderas del Sur
Santa Isabel, PR 00757
Phone (787) 478-8010

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

LicenseStateTypeSpecialty
008562PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1386050300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#78 CALLE CEDRO",
            "address_2": "URB. PRADERAS DEL SUR",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-478-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA",
            "address_2": "SUITE 412 COND. SAN VICENTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161567",
            "telephone_number": "787-284-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-GOMEZ",
        "first_name": "ANA",
        "middle_name": "EVELYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "008562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.