Individual provider Active NPI

Anabis Vera Gonzalez, MD

  • Family Medicine Physician
  • Guayanilla, PR
National Provider Identifier
1447290739
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8904 Issued in PR
Practice address
Quebradas Ward KM. 6.2
Guayanilla, PR 00656-0388
Phone
(787) 543-0113
NPI assigned
Jun 7, 2006
Last updated
Mar 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8904 PR Primary

Addresses

Primary practice location

Quebradas Ward KM. 6.2
Guayanilla, PR 00656-0388

Mailing address

PO Box 560388
Guayanilla, PR 00656-0388
Phone (787) 543-0113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110418000576 PR Practitioner - Family Practice 4587608047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8904PRMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Mar 29, 2017 Accepting new patients
Migrant Health Center Western Region,Inc CurrentSince Mar 29, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1447290739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560388",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560388",
            "telephone_number": "787-543-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QUEBRADAS WARD KM. 6.2",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560388",
            "telephone_number": "787-543-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA GONZALEZ",
        "first_name": "ANABIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "8904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayanilla, PR

Sources for this page

Verify at the official NPI Registry.