Active NPI
Kenny Gonzalez Rivera
- Pharmacist
- Carolina, PR
National Provider Identifier
1801507546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7067
- Practice address
- 830 Street 857
Carolina, PR 00987 - Phone
- (787) 701-2190
- NPI assigned
- Dec 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7067 | PR | Primary |
Addresses
Primary practice location
830 Street 857
Carolina, PR 00987
Mailing address
HC 57 Box 10703
Aguada, PR 00602-9830
Phone (787) 234-9075
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7067 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1801507546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 57 BOX 10703",
"city": "AGUADA",
"state": "PR",
"postal_code": "006029830",
"telephone_number": "787-234-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 STREET 857",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-701-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ RIVERA",
"first_name": "KENNY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "7067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
- Ariel Francisco Gonzalez Cordero, MD
- Bryan Jose Gonzalez Ferrer, PA
- Nora Gonzalez Figueroa, LPC
- Yadira Gonzalez Mendez, MSW
- Itzia Gonzalez Muriel, M.D.
- Kimberly Gonzalez Villanueva
- Stephanie Marie Gonzalez-Almonte, DC
- Luis A Gonzalez-Cancel, LMSW
- Manuel Gonzalez-Rodriguez, MD
- Juan Arnaldo Gonzalez-Sanchez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.