Ivette Gonzalez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

474 Issued in PR

Practice address

131 Ave Winston Churchill Ste a
El Senorial
San Juan, PR 00926-6012

Phone

(787) 764-6589

Fax

(787) 758-1981

NPI assigned

Nov 21, 2006

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• I.G.Professional Optics, PSC.

  • Optometrist
  • San Juan, PR
  • NPI 1265741060
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750456109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 AVE WINSTON CHURCHILL STE A",
            "address_2": "EL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266012",
            "telephone_number": "787-764-6589",
            "fax_number": "787-758-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 AVE WINSTON CHURCHILL STE A",
            "address_2": "EL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266012",
            "telephone_number": "787-764-6589",
            "fax_number": "787-758-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Gonzalez, LMT
• Ileana Gonzalez
• Iris Gonzalez, MT
• Isabel R Gonzalez, D.M.D.
• Isidra Gonzalez
• Janira Del Carmen Gonzalez
• Javier Orlando Gonzalez
• Jenniffer Marie Gonzalez, M.D.
• Joan Gonzalez, PSY.D
• Jose A Gonzalez, M.A, D.MIN.

• Optometrist in San Juan, PR
• Providers in San Juan, PR by specialty
• Optometrist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.