Individual provider Active NPI

Maralys Nanette Esparra Gonzalez, MD

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1750997904
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22023 Issued in PR
Practice address
153 Ave Jose de Diego E
Cayey, PR 00736-3847
Phone
(787) 738-4539
NPI assigned
Sep 22, 2020
Last updated
May 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22023 PR Primary
Independent Medical Examiner Physician 202C00000X 22023 PR

Addresses

Primary practice location

153 Ave Jose de Diego E
Cayey, PR 00736-3847

Mailing address

HC 2 Box 15379
Aibonito, PR 00705-9617
Phone (787) 452-1520

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL AIBONITO Direct

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210525000047 PR Practitioner - General Practice 7416356407 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22023PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Medical Service LLC General Practice CurrentSince Nov 1, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1750997904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 15379",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007059617",
            "telephone_number": "787-452-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 AVE JOSE DE DIEGO E",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363847",
            "telephone_number": "787-738-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPARRA GONZALEZ",
        "first_name": "MARALYS",
        "middle_name": "NANETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22023",
            "primary": true
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "PR",
            "license": "22023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AIBONITO",
            "affiliation": "N",
            "endpointDescription": "CAYEY",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "153 Ave Jose De Diego E",
            "city": "Cayey",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007363847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.