Individual provider Active NPI

Angel Enrique Gonzalez Bravo, PHARMD

  • Pharmacist
  • Arecibo, PR
National Provider Identifier
1437824182
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6792 Issued in PR
Practice address
B3 Calle 27
Arecibo, PR 00612-2874
Phone
(787) 597-2001
NPI assigned
Aug 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS61566 FL
Pharmacist 183500000X 6792 PR Primary

Addresses

Primary practice location

B3 Calle 27
Arecibo, PR 00612-2874

Mailing address

PO Box 141574
Arecibo, PR 00614-1574
Phone (787) 597-2001

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS61566FLMDPharmacist
6792PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1437824182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141574",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141574",
            "telephone_number": "787-597-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B3 CALLE 27",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006122874",
            "telephone_number": "787-597-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ BRAVO",
        "first_name": "ANGEL",
        "middle_name": "ENRIQUE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61566",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.