Cinthya M Gonzalez Reveron

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL012792 Issued in PA

Practice address

2215 N American Street
Philadelphia, PA 19133

Phone

(215) 425-6203

Fax

(215) 425-6204

NPI assigned

Oct 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750785457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N STERLING RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272033",
            "telephone_number": "787-585-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 N AMERICAN STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19133",
            "telephone_number": "215-425-6203",
            "fax_number": "215-425-6204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 N Sterling Rd",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190272033",
            "country_code": "US",
            "telephone_number": "787-585-3619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ REVERON",
        "first_name": "CINTHYA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "2074",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Gonzales, CRNA
• Avvonlea Johnnie Gonzales
• Eloise B Gonzales, RPH
• Stephanie Lauren Gonzales
• Isabella Gonzalez Giraldo
• Tania Celeste Gonzalez Rivera, MD
• Pedro Gonzalez-Alegre, MD
• Dinah Gonzalez-Braile, MD
• Christina Xiao Gonzalez-Gandolfi
• Ernesto Gonzalez-Giraldo, M.D.

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.