Active NPI
Maria Cristina Gonzalez
- Pharmacy Technician
- Port Saint Lucie, FL
National Provider Identifier
1730633348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- RPT 62213
- Practice address
- 2504 SE Anchorage CV Apt B-3
Port Saint Lucie, FL 34952-6202 - Phone
- (772) 475-1833
- NPI assigned
- Aug 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | RPT 62213 | FL | Primary |
| Pharmacy Technician | 183700000X | 9973 | PR |
Addresses
Primary practice location
2504 SE Anchorage CV Apt B-3
Port Saint Lucie, FL 34952-6202
Mailing address
2504 SE Anchorage CV Apt B-3
Port Saint Lucie, FL 34952-6202
Phone (772) 475-1833
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 |
|---|---|---|---|
| RPT 62213 | FL | MD | Pharmacy Technician |
| 9973 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1730633348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 SE ANCHORAGE CV APT B-3",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349526202",
"telephone_number": "772-475-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 SE ANCHORAGE CV APT B-3",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349526202",
"telephone_number": "772-475-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARIA",
"middle_name": "CRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "RPT 62213",
"primary": true
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "9973",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.