Desiree Gonzalez, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

75668 Issued in PR

Practice address

RR 14 Box 5334
Bayamon, PR 00956-9711

Phone

(787) 279-3632

NPI assigned

Mar 15, 2016

Sex

Female

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

Credentials

Registered Nurse

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.

• Dajaos Medical Center CSP

  • Clinic/Center
  • Bayamon, PR
  • NPI 1528222676
  NPD (past)

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1497116685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 14 BOX 5334",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569711",
            "telephone_number": "787-279-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 14 BOX 5334",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569711",
            "telephone_number": "787-279-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DESIREE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "75668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Andrea Gonzalez-Trelles, MSW, LCSW
• Adianeliz Gonzalez, OT
• Alexis Tomas Gonzalez, M.D.
• Brunilmarie Gonzalez
• Carmen C Gonzalez, RN MSN
• Elsie M. Gonzalez, PSY.D, MSW
• Enrique A Gonzalez, DMD
• Eric M Gonzalez, MD, MPH
• Gloria Francisca Gonzalez, DIETITIAN
• Glorivette Gonzalez, LND

• General Practice Registered Nurse in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.