J.a. Gonzalez & Associados, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16-P-2985 Issued in PR

Legal business name

J.A. GONZALEZ & ASSOCIADOS, INC.

Practice address

Calle Baldoroty #11
(Pueblo)
Santa Isabel, PR 00757

Phone

(787) 315-2356

NPI assigned

Jan 30, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jose A. Gonzalez II

Title

President

Phone

(787) 315-2356

Specialties & licenses 1

Addresses

Other names 1

• Cancy Convenience Store Doing business as

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1770973604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007510429",
            "telephone_number": "787-315-2356",
            "fax_number": "787-824-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BALDOROTY #11",
            "address_2": "(PUEBLO)",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-315-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.A. GONZALEZ & ASSOCIADOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-315-2356",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "16-P-2985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancy Convenience Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Santa Isabel, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.