Kimberly Mendez Gonzalez

Key facts

NPI

1861301889

Entity type

Individual (NPI type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program 390200000X

License

2900 (PR)

Practice address

Car 444 KM 5.5 Bo Cuchillas Sect Muniz
Moca, PR 00676

Phone

(787) 233-4893

NPI assigned

Sep 4, 2026

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2026.

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1861301889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 10607",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769807",
            "telephone_number": "787-233-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAR 444 KM 5.5 BO CUCHILLAS SECT MUNIZ",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-233-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ GONZALEZ",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "2900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

• Nayrin Z Medina Soto
• Amneris Medina Vazquez
• Keavette Mejias, MS
• Jorge Luis Mendez Colon, M.D.
• Chinicol Marie Mendez Cordero
• Glendaliz Mendez Hernandez, PHARMD
• Melanie Mendez-Vargas, PHARMD
• Domingo Justiniano Mendez
• Edwin Emmanuel Mendez
• Zuleyka Mendez, MD

All providers in Moca, PR · Student in an Organized Health Care Education/Training Program in Puerto Rico