Individual provider Active NPI

Jonathan Morales Gonzalez, IRIDOLOGO NATUROLOGO

  • Naturopath
  • Tampa, FL
National Provider Identifier
1851662662
Registry record updated Jun 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4818324 Issued in ZZ
Practice address
6401 Reef Cir
Tampa, FL 33625-3974
Phone
(787) 533-3485
NPI assigned
Jan 25, 2012
Sex
Male
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
4818324ZZMDNaturopath
0653PRMDMassage Therapist

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Naprapath 172P00000X 5935 PR
Massage Therapist 225700000X 0653 PR
Naturopath 175F00000X 4818324 ZZ Primary

Addresses

NPPES NPI Registry

Primary practice location

6401 Reef Cir
Tampa, FL 33625-3974

Mailing address

6401 Reef Cir
Tampa, FL 33625-3974
Phone (787) 533-3485

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2024.

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1851662662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 REEF CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253974",
            "telephone_number": "787-533-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 REEF CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253974",
            "telephone_number": "787-533-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES GONZALEZ",
        "first_name": "JONATHAN",
        "credential": "IRIDOLOGO NATUROLOGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "PR",
            "license": "5935",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PR",
            "license": "0653",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ZZ",
            "license": "4818324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.