Individual provider Active NPI

Raquel Gonzalez, SLP

  • Speech-Language Pathologist
  • Ponce, PR
National Provider Identifier
1518289065
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
891 Issued in PR
Practice address
4024 Calle Santa Catalina
Ext. Santa Teresita
Ponce, PR 00730-4620
Phone
(787) 319-4528
NPI assigned
Feb 25, 2010
Last updated
Feb 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 891 PR Primary

Addresses

Primary practice location

4024 Calle Santa Catalina
Ext. Santa Teresita
Ponce, PR 00730-4620

Mailing address

Calle Sta. Catalina 4024
Ext. Santa Teresita
Ponce, PR 00730-4620
Phone (787) 319-4528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
891PRMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1518289065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE STA. CATALINA 4024",
            "address_2": "EXT. SANTA TERESITA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304620",
            "telephone_number": "787-319-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 CALLE SANTA CATALINA",
            "address_2": "EXT. SANTA TERESITA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304620",
            "telephone_number": "787-319-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.