Active NPI
Angel L Gonzalez Perez
- Land Ambulance
- Moca, PR
National Provider Identifier
1730336108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TC-AMB-101
- Practice address
- Carr 110 KM. 12.8
Bo Pueblo
Moca, PR 00676 - Phone
- (787) 530-8953
- Fax
- (787) 818-1122
- NPI assigned
- Aug 27, 2008
- Last updated
- Oct 27, 2008
- 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 |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | TC-AMB-101 | PR | Primary |
Addresses
Primary practice location
Carr 110 KM. 12.8
Bo Pueblo
Moca, PR 00676
Mailing address
PO Box 1438
Moca, PR 00676-1438
Phone (787) 530-8953
Other names 1
- Mr. Angel L Gonzalez
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC-AMB-101 | PR | MD | Land Ambulance |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1730336108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1438",
"city": "MOCA",
"state": "PR",
"postal_code": "006761438",
"telephone_number": "787-530-8953",
"fax_number": "787-818-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 110 KM. 12.8",
"address_2": "BO PUEBLO",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-530-8953",
"fax_number": "787-818-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ PEREZ",
"first_name": "ANGEL",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-27",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TC-AMB-101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGEL",
"last_name": "GONZALEZ",
"middle_name": "L",
"prefix": "MR.",
"credential": "EMS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.