Javier Orlando Gonzalez

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

2666 Issued in PR

Practice address

1206 Calle 62 SE
San Juan, PR 00921-3134

Phone

(787) 297-3244

NPI assigned

Oct 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1508465972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 CALLE 62 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213134",
            "telephone_number": "787-297-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 CALLE 62 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213134",
            "telephone_number": "787-297-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JAVIER",
        "middle_name": "ORLANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-18",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "PR",
            "license": "2666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.facebook.com/NeuroactivoPR/",
            "affiliation": "Y",
            "endpointDescription": "face",
            "affiliationName": "NEUROACTIVO INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direccin",
            "address_1": "P55 Calle 9",
            "address_2": "RIO LAJAS",
            "city": "DORADO",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Iris Gonzalez, MT
• Isabel R Gonzalez, D.M.D.
• Isidra Gonzalez
• Ivette Gonzalez, O.D.
• Janira Del Carmen Gonzalez
• Jenniffer Marie Gonzalez, M.D.
• Joan Gonzalez, PSY.D
• Jose A Gonzalez, M.A, D.MIN.
• Jose M Gonzalez, DMD
• Juan Gonzalez

• Psychiatric/Mental Health Clinical Nurse Specialist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.