Active NPI
Maria L Gonzalez, O.D.
- Optometrist
- Guaynabo, PR
National Provider Identifier
1396913125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 178
- Practice address
- 10TH.St. #5-39
Alturas de Torrimar
Guaynabo, PR 00969-3211 - Phone
- (787) 579-7726
- NPI assigned
- Feb 14, 2008
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 178 | PR | Primary |
Addresses
Primary practice location
10TH.St. #5-39
Alturas de Torrimar
Guaynabo, PR 00969-3211
Mailing address
10TH.St.#5-39
Alturas de Torrimar
Guaynabo, PR 00969
Phone (787) 579-7726
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jalou Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1396913125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10TH.ST.#5-39",
"address_2": "ALTURAS DE TORRIMAR",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-579-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10TH.ST. #5-39",
"address_2": "ALTURAS DE TORRIMAR",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693211",
"telephone_number": "787-579-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARIA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.