Individual provider Active NPI

Monica Gonzalez-Loperena, MD

  • Pediatrics Physician
  • Moca, PR
National Provider Identifier
1699254086
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23925 Issued in PR
Practice address
Plaza Quintana, PR-111, KM 11.5 Bo Capa
Moca, PR 00676
Phone
(787) 818-2115
NPI assigned
Aug 7, 2018
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 326014 NY
Pediatrics Physician 208000000X 23925 PR Primary

Addresses

Primary practice location

Plaza Quintana, PR-111, KM 11.5 Bo Capa
Moca, PR 00676

Mailing address

HC 2 Box 24479
San Sebastian, PR 00685-9311
Phone (787) 818-2115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20200921002450 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5395163596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
326014NYMDPediatrics Physician
23925PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GL Medical LLC Pediatrics CurrentSince Feb 2, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1699254086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 24479",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859311",
            "telephone_number": "787-818-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA QUINTANA, PR-111, KM 11.5 BO CAPA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-818-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-LOPERENA",
        "first_name": "MONICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "326014",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "23925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.