Mely Z Gonzalez Madera, CLINICAL SOCIAL WORK

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11858 Issued in PR

Practice address

307 Avenida Ortegon 107
Caparra Gallery
Guaynabo, PR 00965-2505

Phone

(787) 204-7699

NPI assigned

May 3, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1548825706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VILLAS DE LA CENTRAL VICTORIA",
            "address_2": "17 CALLE ESCARPIA",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007770000",
            "telephone_number": "787-204-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 AVENIDA ORTEGON 107",
            "address_2": "CAPARRA GALLERY",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009652505",
            "telephone_number": "787-204-7699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 796 KM 7.6",
            "address_2": "BARRIO BAIROA LA 25",
            "address_purpose": "LOCATION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007270000",
            "country_code": "US",
            "telephone_number": "787-745-0410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ MADERA",
        "first_name": "MELY",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "CLINICAL SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "11858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39793900",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy I Gonzalez Garcia, 1456B
• Karolane Arleen Gonzalez Gonzalez
• Dennis Gonzalez Hernandez, 0452B
• Christian Javier Gonzalez Jimenez, PHD
• Zuleyka Gonzalez Lopez
• William Gonzalez Matos, 1159P
• Martin E Gonzalez Mendez, 0850B
• Joshua C Gonzalez Rivera, 1318P
• Luis M Gonzalez Rivera, 1562P
• Nereida Gonzalez Rivera, 1493P

• Clinical Social Worker in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.