Sasha Mara Gonzalez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15605 Issued in PR

Practice address

Barceloneta Prime Outlets Carr.#2 KM. 54.6
Interseccion Carr. 140 , Bo. Manati Abajo
Barceloneta, PR 00617

Phone

(787) 607-1223

Fax

(787) 626-4708

NPI assigned

Aug 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750394078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CARR 693",
            "address_2": "PMB #194",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464802",
            "telephone_number": "787-549-1818",
            "fax_number": "787-626-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARCELONETA PRIME OUTLETS CARR.#2 KM. 54.6",
            "address_2": "INTERSECCION CARR. 140 , BO. MANATI ABAJO",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-607-1223",
            "fax_number": "787-626-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SASHA",
        "middle_name": "MARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Gonzalez Mercado
• Beberline Gonzalez Santiago, CPHT
• Evelyn Gonzalez
• Jose B. Gonzalez Sr., R.PH
• Nancy Gonzalez, PH.TEC.
• Paola Michelle Goyco Fergelec
• GR Medical Group LLC
• Grupo Medico Dra Ana Otero Cruz LLC
• Giovanny Noel Gutierrez Serrano
• Enid Guzman, CRNA

• General Practice Physician in Barceloneta, PR
• Providers in Barceloneta, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.