Active NPI
Sheila Ann Gonzalez, O.D.
- Optometrist
- Ponce, PR
National Provider Identifier
1750439006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 475
- Practice address
- 2050 Ponce Byp
Ste #101 del Caribe Mall
Ponce, PR 00716-1911 - Phone
- (787) 259-8882
- NPI assigned
- Jan 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 475 | PR | Primary |
Addresses
Primary practice location
2050 Ponce Byp
Ste #101 del Caribe Mall
Ponce, PR 00716-1911
Mailing address
St. 6 I-4 Versalles
Bayamon, PR 00959
Phone (787) 740-6201
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 |
|---|---|---|---|
| 475 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750439006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST. 6 I-4 VERSALLES",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-740-6201",
"fax_number": "787-778-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 PONCE BYP",
"address_2": "STE #101 DEL CARIBE MALL",
"city": "PONCE",
"state": "PR",
"postal_code": "007161911",
"telephone_number": "787-259-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "SHEILA",
"middle_name": "ANN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- 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.