Individual provider Active NPI

Nora Liz Mejias Gonzalez, MD, MHA

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1871199786
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22101 Issued in PR
Practice address
14 Calle Miguel Casillas
Humacao, PR 00791-3638
Phone
(787) 285-5959
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22101 PR Primary

Addresses

Primary practice location

14 Calle Miguel Casillas
Humacao, PR 00791-3638

Mailing address

PO Box 1364
Gurabo, PR 00778-1364
Phone (787) 604-0157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201001148 PR Practitioner - General Practice 8729492889 Practice locations: Humacao, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22101PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eunusi LLC CurrentSince Dec 13, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1871199786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1364",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007781364",
            "telephone_number": "787-604-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CALLE MIGUEL CASILLAS",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913638",
            "telephone_number": "787-285-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIAS GONZALEZ",
        "first_name": "NORA",
        "middle_name": "LIZ",
        "name_prefix": "Dr.",
        "credential": "MD, MHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.