Camille Marie Gonzalez Robles, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22535 Issued in PR

Practice address

1063 Calle Gonzalez
Urb. Santa Rita
San Juan, PR 00925

Phone

(939) 226-5281

NPI assigned

Mar 28, 2019

Last updated

May 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1841751294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 CALLE GONZALEZ",
            "address_2": "URB. SANTA RITA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "939-226-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 CALLE GONZALEZ",
            "address_2": "URB. SANTA RITA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "939-226-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ROBLES",
        "first_name": "CAMILLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL PRACTICE PHYSICIAN",
            "identifier": "22535",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriel Gonzalez Rivera
• Alexis Gonzalez Rivera, M.D.
• Bryan Louis Gonzalez Rivera, PHARMD
• Gretchen J Gonzalez Rivera, MS,PSY.D
• Luis Angel Gonzalez Rivera
• Rafael Gonzalez Rodriguez, M.D.
• Monica Marie Gonzalez Sanchez
• Maritza Gonzalez Santiago
• Gonzalez Toledo Medical Services LLC
• Ruben A Gonzalez Toledo, MD

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.