Fabiola Marie Gonzalez, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1333 Issued in PR

Practice address

Urb Los Caobos 2413 Calle Pomarrosa
Ponce, PR 00716-2717

Phone

(787) 901-9210

NPI assigned

Sep 9, 2022

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

Enrolled in PR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Puerto Rico School of Medicine, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vivo Clinic Corp

  • Chiropractor
  • Vega Baja, PR
  • NPI 1255158168

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1609597442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LOS CAOBOS 2413 CALLE POMARROSA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162717",
            "telephone_number": "787-901-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LOS CAOBOS 2413 CALLE POMARROSA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162717",
            "telephone_number": "787-901-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "FABIOLA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana M Gonzalez, PSY.D
• Anndra Aimee Gonzalez
• Brianna Marlo Gonzalez
• Carlos Alejandro Francisco Gonzalez, MD
• Carlos Jacobo Gonzalez Sr., M.D.
• Frances Ailis Gonzalez
• Gerardo Gonzalez, M.D.
• Javier Gonzalez, MD
• Josue Gonzalez
• Ketsia Gonzalez, MD

• Occupational Therapist in Ponce, PR
• Providers in Ponce, PR by specialty
• Occupational Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.