Active NPI
Angel Luis Gonzalez Jr.
- Pharmacy Technician
- Salinas, PR
National Provider Identifier
1467092536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 12363
- Practice address
- #8 Calle Agustin Colon Pacheco
Salinas, PR 00751 - Phone
- (787) 824-2076
- NPI assigned
- Jan 7, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 12363 | PR | Primary |
Addresses
Primary practice location
#8 Calle Agustin Colon Pacheco
Salinas, PR 00751
Mailing address
HC 2 Box 4836
Coamo, PR 00769-9586
Phone (787) 322-0071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6179205 | Other | PR | DRIVER LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12363 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1467092536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 4836",
"city": "COAMO",
"state": "PR",
"postal_code": "007699586",
"telephone_number": "787-322-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#8 CALLE AGUSTIN COLON PACHECO",
"city": "SALINAS",
"state": "PR",
"postal_code": "00751",
"telephone_number": "787-824-2076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ANGEL",
"middle_name": "LUIS",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-07",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "12363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "6179205",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salinas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.