Active NPI
Angel A Gonzalez-Carrasquillo, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Guaynabo, PR
National Provider Identifier
1659468478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 5402
- Practice address
- 9 Valle Escondido
Guaynabo, PR 00971-8000 - Phone
- (787) 731-1290
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 5402 | PR | Primary |
Addresses
Primary practice location
9 Valle Escondido
Guaynabo, PR 00971-8000
Mailing address
9 Valle Escondido Estates
Guaynabo, PR 00971-8000
Phone (787) 731-1290
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5402 | PR | MD | Addiction Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659468478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 VALLE ESCONDIDO ESTATES",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009718000",
"telephone_number": "787-731-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 VALLE ESCONDIDO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009718000",
"telephone_number": "787-731-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-CARRASQUILLO",
"first_name": "ANGEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "PR",
"license": "5402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
- Miguel A Gonzalez Rodriguez, 0175B
- Reinaldo Gonzalez Roldan, 0980B
- Angel Gonzalez Roman, 0081B
- Alfredo Gonzalez Sanchez, 0290P
- Johnny Gonzalez Torres, 1421P
- Margelyn Gonzalez-Garcia, PHD
- Cristina Gonzalez-Quintero, PSY.D.
- Adriana P Gonzalez
- Camil Denisse Gonzalez, PH.D.
- Francisco Javier Gonzalez, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.