Active NPI
Jenniffer Marie Gonzalez, M.D.
- Emergency Medicine Physician
- San Juan, PR
National Provider Identifier
1740483296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 17563
- Practice address
- Cond. Aquablue
48 Ave. Munoz Rivera Apt. 1607
San Juan, PR 00918 - Phone
- (787) 648-8548
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17563 | PR | Primary |
Addresses
Primary practice location
Cond. Aquablue
48 Ave. Munoz Rivera Apt. 1607
San Juan, PR 00918
Mailing address
48 Ave Munoz Rivera Apt 1607
Cond Aquablue
San Juan, PR 00918
Phone (787) 648-8548
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1740483296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 AVE MUNOZ RIVERA APT 1607",
"address_2": "COND AQUABLUE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-648-8548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND. AQUABLUE",
"address_2": "48 AVE. MUNOZ RIVERA APT. 1607",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-648-8548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JENNIFFER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "17563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.