JL Gonzalez Rodriguez LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JL GONZALEZ RODRIGUEZ LLC

Practice address

PR-492 KM 2.5 Corcovado, Edificio Country Plaza
Hatillo, PR 00659

Phone

(787) 262-5253

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jorge L Gonzalez, MDNPI 1457368847

Title

President

Phone

(787) 642-4611

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge Luis Gonzalez, M.D.

  • General Practice Physician
  • Camuy, PR
  • NPI 1457368847
  NPD Authorized official

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1508649377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX",
            "address_2": "803",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-642-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR-492 KM 2.5 CORCOVADO, EDIFICIO COUNTRY PLAZA",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-262-5253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 455 Int. 454 km 2.3 Bo. Quebrada",
            "address_purpose": "LOCATION",
            "city": "Camuy",
            "state": "PR",
            "postal_code": "00627",
            "country_code": "US",
            "telephone_number": "787-262-7537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JL GONZALEZ RODRIGUEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-642-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette Toledo Rodriguez
• Natalia Zayrah Jimenez Colon, MD
• Joyce Nicole Jimenez Rodriguez, SLP
• Obet Jimenez- Ortega, M.D.
• Jaimairis Jimenez
• Hector Juarbe, M.D.
• La Montana Physician Group Inc
• La Vida Medical Group Hatillo Corp
• La Vida Medical Group Hatillo Corp (Laboratorio Clinico Los Angeles Medical Group)
• La Vida Medical Group Hatillo PT

• Primary Care Clinic/Center in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.