Active NPI
David Gonzalez Sr., BOCO
- Orthotist
- San Juan, PR
National Provider Identifier
1851546287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- C46541
- Practice address
- 10 Casia St
VA Medical Center
San Juan, PR 00921 - Phone
- (787) 641-7582
- Fax
- (787) 622-4821
- NPI assigned
- Nov 26, 2008
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | C46541 | PR | Primary |
Addresses
Primary practice location
10 Casia St
VA Medical Center
San Juan, PR 00921
Mailing address
10 Casia St
VA Medical Center
San Juan, PR 00921
Phone (787) 641-7582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C46541 | Other | BOC |
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 |
|---|---|---|---|
| C46541 | PR | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1851546287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CASIA ST",
"address_2": "VA MEDICAL CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-641-7582",
"fax_number": "787-622-4821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CASIA ST",
"address_2": "VA MEDICAL CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-641-7582",
"fax_number": "787-622-4821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DAVID",
"name_suffix": "Sr.",
"credential": "BOCO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-26",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "PR",
"license": "C46541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC",
"identifier": "C46541",
"state": null
}
],
"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 Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.