Individual provider Active NPI

Carille Gonzalez Gomez, THL

  • Speech-Language Assistant
  • Ponce, PR
National Provider Identifier
1639063035
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
1070 Issued in PR
Practice address
Urb Riveras del Bucana
2535 Calle Florin
Ponce, PR 00731-0073
Phone
(939) 286-6486
NPI assigned
Jun 9, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 1070 PR Primary

Addresses

Primary practice location

Urb Riveras del Bucana
2535 Calle Florin
Ponce, PR 00731-0073

Mailing address

Urb Riveras del Bucana 2535 Calle Florin
Terapiadelhabla@Yahoo.Com
Ponce, PR 00731-0073
Phone (939) 286-6468

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
1070PRMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1639063035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB RIVERAS DEL BUCANA 2535 CALLE FLORIN",
            "address_2": "TERAPIADELHABLA@YAHOO.COM",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007310073",
            "telephone_number": "939-286-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB RIVERAS DEL BUCANA",
            "address_2": "2535 CALLE FLORIN",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007310073",
            "telephone_number": "939-286-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GOMEZ",
        "first_name": "CARILLE",
        "credential": "THL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "1070",
            "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 Jun 9, 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.