Active NPI
Jose G Gonzalez, TEM, RN
- Paramedic
- Moca, PR
National Provider Identifier
1760700801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 2267-P
- Practice address
- Carr 420 KM 4.0 Int Bo Plata
HC-04 Box 13942
Moca, PR 00676 - Phone
- (787) 218-7890
- NPI assigned
- May 13, 2010
- Last updated
- May 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 2267-P | PR | Primary |
| Registered Nurse | 163W00000X | 14089P | PR |
Addresses
Primary practice location
Carr 420 KM 4.0 Int Bo Plata
HC-04 Box 13942
Moca, PR 00676
Mailing address
Carr 420 KM 4.0 Int Bo Plata
HC-04 Box 13942
Moca, PR 00676
Phone (787) 218-7890
Other names 1
- Mr. Jose G Gonzalez
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2267-P | PR | MD | Paramedic |
| 14089P | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1760700801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR 420 KM 4.0 INT BO PLATA",
"address_2": "HC-04 BOX 13942",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-218-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 420 KM 4.0 INT BO PLATA",
"address_2": "HC-04 BOX 13942",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-218-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JOSE",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "TEM, RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-13",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "PR",
"license": "2267-P",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "14089P",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSE",
"last_name": "GONZALEZ",
"middle_name": "G",
"prefix": "MR.",
"credential": "TEM, RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.