Yamil R Gonzalez, MD

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

00393 Issued in PR

Practice address

State Rd 877 Camino Las Lomas Capuccino
KM 16
San Juan, PR 00926

Phone

(787) 669-4900

NPI assigned

Oct 17, 2024

Last updated

Oct 17, 2024By 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

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1679394191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140194",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00614",
            "telephone_number": "787-669-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE RD 877 CAMINO LAS LOMAS CAPUCCINO",
            "address_2": "KM 16",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-669-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 140194",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "00614",
            "country_code": "US",
            "telephone_number": "787-669-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "YAMIL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "00393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakira J Gonzalez
• Sol Ednita Gonzalez, PH.D
• Veronica Lee Gonzalez
• Victor M Gonzalez, PSYCHOLGY
• Virgen Gonzalez, OPTICO
• Yarelys M Gonzalez, ND
• Yaritsa Gonzalez, PHD
• Yesimar Gonzalez III
• Zulema Gonzalez
• Zuleska Eunice Gonzalez, PHARMD

• Physician Assistant in San Juan, PR
• Providers in San Juan, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.