Active NPI
Angel M Gonzalez, MS/SLP
- Speech-Language Pathologist
- San Juan, PR
National Provider Identifier
1841717766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004178-1
- Practice address
- 2204 504 Calle Concha Espina
Urb El Senorial
San Juan, PR 00926 - Phone
- (787) 233-0227
- NPI assigned
- Aug 23, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004178-1 | PR | Primary |
Addresses
Primary practice location
2204 504 Calle Concha Espina
Urb El Senorial
San Juan, PR 00926
Mailing address
2005 Calle Concha Espina
Urb El Senorial
San Juan, PR 00926
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004178-1 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503446400000",
"number": "1841717766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 CALLE CONCHA ESPINA",
"address_2": "URB EL SENORIAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 504 CALLE CONCHA ESPINA",
"address_2": "URB EL SENORIAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-233-0227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ANGEL",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MS/SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-23",
"last_updated": "2017-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "004178-1",
"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 Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.