Ruth O Gonzalez, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

832623 Issued in PR

Practice address

Centro Coop
Suite2
Aguada, PR 00602-0953

Phone

(787) 895-4883

NPI assigned

Feb 2, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Servicios Medicos Profesionales Doctor J. Diaz CSP

  • General Practice Physician
  • Aguada, PR
  • NPI 1275693574
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689712697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953",
            "address_2": "SUITE5000",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020953",
            "telephone_number": "787-895-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COOP",
            "address_2": "SUITE2",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020953",
            "telephone_number": "787-895-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RUTH",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "832623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LND",
            "identifier": "1106",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RD",
            "identifier": "832623",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Gonzalez, DC
• Katia Yaris Gonzalez, OTR/L
• Luz M Gonzalez
• Mabel Gonzalez, PT, MPT
• Roberto H Gonzalez Sr., M.D.
• Wanda I Gonzalez, RPH
• Keyla Goyco
• Brenda I. Grajales
• Grupo de Bienestar Y Desarrollo Integral LLC
• Francisco Rafael Guevara, MD

• Registered Dietitian in Aguada, PR
• Providers in Aguada, PR by specialty
• Registered Dietitian in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.