Ashley Marie Gonzalez Lopez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21262 Issued in PR

Practice address

Hospital Metropolitano de la Montana
Calle Isaac Gonzalez Martinez Esq Ledesma
Utuado, PR 00641

Phone

(787) 368-7205

NPI assigned

Apr 25, 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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1639733553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VILLA PRADES",
            "address_2": "615 CALLE FELIPE GUTIERREZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-368-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL METROPOLITANO DE LA MONTANA",
            "address_2": "CALLE ISAAC GONZALEZ MARTINEZ ESQ LEDESMA",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "00641",
            "telephone_number": "787-368-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LOPEZ",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "21262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "21262",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julissa Galvan Feliciano
• Maraliz Garcia Sr., MSW
• Wilfrido Girona-Rivera, M.D.
• Golden Healthcare Group CSP
• Juliana Gonzalez Arroyo
• Jonathan Gonzalez-Barreto, MD
• Ana D. Gonzalez
• Melisa Gonzalez
• Grupo Medico Dr Alberto H Torres LLC
• Eva A Henao, DMD

• All providers in Utuado, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.