Organization Active NPI

Gonbermed LLC

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1730860487
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GONBERMED LLC
Practice address
55 Calle Meditacion Ste 9a
Mayaguez, PR 00680-4849
Phone
(787) 832-3037
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Widalys Crespo
Title
Secretary
Phone
(787) 673-1769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

55 Calle Meditacion Ste 9a
Mayaguez, PR 00680-4849

Mailing address

PO Box 1618
Mayaguez, PR 00681-1618
Phone (787) 832-3037

National Provider Directory

National Provider Directory

Locations

55 Calle Meditacion
Ste 9A
Mayaguez, PR 00680
Phone (787) 832-3036

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1730860487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1618",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811618",
            "telephone_number": "787-832-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE MEDITACION STE 9A",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804849",
            "telephone_number": "787-832-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONBERMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "CRESPO",
        "authorized_official_first_name": "WIDALYS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-673-1769"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.