Maribel Gonzalez, M.T.

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

3565 Issued in PR

Practice address

1488 Ave Emerito Estrada Rivera
San Sebastian, PR 00685-3023

Phone

(787) 896-1076

Fax

(787) 896-1076

NPI assigned

Nov 9, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

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.

• Laboratorio Clinico San Antonio

  • Clinical Medical Laboratory
  • San Sebastian, PR
  • NPI 1710176177
  NPD (past) Authorized official

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1679554455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006858003",
            "telephone_number": "787-896-1076",
            "fax_number": "787-896-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 AVE EMERITO ESTRADA RIVERA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853023",
            "telephone_number": "787-896-1076",
            "fax_number": "787-896-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIBEL",
        "name_prefix": "Mrs.",
        "credential": "M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "PR",
            "license": "3565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gonzalez-Jimenez Ambulance Service Inc
• Gloria Enid Gonzalez
• Jessica Gonzalez, OTL
• Jose Ivan Gonzalez, M.D.
• Mara Gonzalez, SLP
• Melissa Gonzalez, TRABAJADORA SOCIAL
• Yaneiza Marie Gonzalez
• Mayda T Graulau Santiago, PHD
• Juan J. Guerra Rodriguez Sr.
• Olga E Guzman Guzman, MD

• Medical Technologist in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Medical Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.