Odalys Gonzalez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3130 Grand Concourse Apt 6P
Bronx, NY 10458-1231

Phone

(646) 764-4761

NPI assigned

Jul 10, 2025

Last updated

Jul 21, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1558252262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064046",
            "telephone_number": "929-268-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE APT 6P",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581231",
            "telephone_number": "646-764-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ODALYS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Gonzalez, LCSW
• Michael Steven Gonzalez, LCSW
• Michelle Gonzalez
• Noelis Gonzalez
• Noemi Gonzalez, LCSW
• Olga Gonzalez, LMSW
• Otto Gonzalez, DDS
• Penelope Tomasina Gonzalez, NP
• Rosalyn Gonzalez, LMSW
• Sabrina Gonzalez

• Case Manager/Care Coordinator in Bronx, NY
• Providers in Bronx, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.