Alexis Gonzalez Mendez, MED, MBA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

134 Thurbers Ave Ste 212
Providence, RI 02905-4721

Phone

(401) 453-7618

NPI assigned

Jan 23, 2019

Last updated

Jan 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Master of Business Administration, Master of Education

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1558825679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 PLEASANT VALLEY PKWY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083517",
            "telephone_number": "401-215-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 THURBERS AVE STE 212",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054721",
            "telephone_number": "401-453-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MENDEZ",
        "first_name": "ALEXIS",
        "credential": "MED, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Goncalves
• Jung Ho Gong
• Talyah Gonsalves
• Gabrielle Olivia Gontarek
• Catalina Dolores Gonzalez Marques, M.D.
• Annmarie Gonzalez Munoz, MD
• Tania Gonzalez Sanchez, PHD
• Basilio Gonzalez
• Enrique Gonzalez, LCDP
• Iraida Gonzalez, LCSW

• Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.