Active NPI
Anel Renee Gonzalez Cardona, MD
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1790345452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 15163
- Practice address
- Carretera 22 Barrio Monacillos
San Juan, PR 00919-1079 - Phone
- (787) 474-0333
- NPI assigned
- Jun 15, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 15163 | PR | Primary |
Addresses
Primary practice location
Carretera 22 Barrio Monacillos
San Juan, PR 00919-1079
Mailing address
PO Box 191079
San Juan, PR 00919-1079
Phone (787) 474-0333
Other practice location 1
E8 Calle Generalife
San Juan, PR 00926-2110
Phone (787) 242-3053
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15163 | PR | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1790345452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191079",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009191079",
"telephone_number": "787-474-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 22 BARRIO MONACILLOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009191079",
"telephone_number": "787-474-0333"
}
],
"practiceLocations": [
{
"address_1": "E8 Calle Generalife",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009262110",
"country_code": "US",
"telephone_number": "787-242-3053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ CARDONA",
"first_name": "ANEL",
"middle_name": "RENEE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-15",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "15163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Nahria Alexandra Gonzalez Benitez
- Dennis Gonzalez Betancourt, MD
- Alex N Gonzalez Bossolo, M.D
- Benjamin A Gonzalez Burgos, MD
- Andrea Gonzalez Carbonell, DMD
- Jorge Abraham Gonzalez Castillo, MD
- Melissa Marie Gonzalez Castro, D.C.
- Enolix Gonzalez Colon
- Hadelin Gonzalez Cornelio
- Ladybeth Gonzalez Cortes, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.