Edgardo Gonzalez

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

65 Issued in PR

Practice address

Del Rio Shopping
A2-1 Urb Valle Tolima
Caguas, PR 00726

Phone

(787) 653-5353

NPI assigned

Jul 13, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mediko Red Aliado Corp

  • Case Manager/Care Coordinator
  • Gurabo, PR
  • NPI 1972806115
  NPD (past)

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1477039329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7589",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007267589",
            "telephone_number": "787-653-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEL RIO SHOPPING",
            "address_2": "A2-1 URB VALLE TOLIMA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-653-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb San Alfanso",
            "address_2": "A17 Calle Degetau",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00726",
            "country_code": "US",
            "telephone_number": "787-743-5353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EDGARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "PR",
            "license": "65",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethel Marie Gonzalez, MD
• Braulio Gonzalez, D.C.
• Brenda Carol Gonzalez, PHARMACY TECHNICIAN
• Carmen De Los Milagros Gonzalez, MD
• Dannelly B. Gonzalez, D.M.D.
• Emilo Rafael Gonzalez, M.D.
• Erika Gonzalez, PHL
• Jasseline I Gonzalez
• Jennifer Gonzalez
• Jessica M Gonzalez, MSW

• All providers in Caguas, PR
• Health Educator in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.