Active NPI
Enid M. Gonzalez, RD
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1811482029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 832272
- Practice address
- Calle de Diego 369 Torre San Francisco
Suite 507
San Juan, PR 00923 - Phone
- (787) 282-3000
- Fax
- (787) 282-3080
- NPI assigned
- Jun 29, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 832272 | PR | Primary |
Addresses
Primary practice location
Calle de Diego 369 Torre San Francisco
Suite 507
San Juan, PR 00923
Mailing address
8 Plaza Santa Cruz
Trujillo Alto, PR 00976-6123
Phone (787) 760-6000
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 |
|---|---|---|---|
| 832272 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Angel Miro Diaz, PSC | Single Specialty | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1811482029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 PLAZA SANTA CRUZ",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766123",
"telephone_number": "787-760-6000",
"fax_number": "787-282-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE DE DIEGO 369 TORRE SAN FRANCISCO",
"address_2": "SUITE 507",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00923",
"telephone_number": "787-282-3000",
"fax_number": "787-282-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ENID",
"middle_name": "M.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-29",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "832272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.