Active NPI
Yesenia Gonzalez, MS
- Audiologist
- Carolina, PR
National Provider Identifier
1518079474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 586
- Practice address
- Ave Roberto Clemente 2716
Urb Villa Carolina
Carolina, PR 00985 - Phone
- (787) 762-3737
- NPI assigned
- Aug 31, 2006
- Last updated
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 586 | PR | Primary |
Addresses
Primary practice location
Ave Roberto Clemente 2716
Urb Villa Carolina
Carolina, PR 00985
Mailing address
HC 3 Box 12930
Carolina, PR 00987-9607
Phone (787) 762-3737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250086 | Other | PR | PREFERRED HEALTH |
| 9820025 | Other | PR | HUMANA INSURANCE (PPO) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 586 | PR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Familiar de Servicios Audiologicos Corp | Current | Accepting new patients |
Locations
27-16 Ave Roberto Clemente
Carolina, PR 00985
Phone (787) 276-8123
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Carolina, PR
- NPI 1619009768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1518079474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 12930",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009879607",
"telephone_number": "787-762-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE ROBERTO CLEMENTE 2716",
"address_2": "URB VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-762-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "YESENIA",
"name_prefix": "Miss",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PR",
"license": "586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "250086",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE (PPO)",
"identifier": "9820025",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.