Roberta Gonzalez, R, M

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

R0010936 Issued in MD

Practice address

4445 Willard Ave
Suite 200
Chevy Chase, MD 20815-3690

Phone

(301) 907-7793

NPI assigned

Dec 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1881069250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 TULIP GROVE RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208791859",
            "telephone_number": "580-480-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 WILLARD AVE",
            "address_2": "SUITE 200",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153690",
            "telephone_number": "301-907-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROBERTA",
        "credential": "R, M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MD",
            "license": "R0010936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre P Goldson, DPT
• Barrett Goldstein, M.D.
• Brooke Goldstein
• Hallie Goldstein, CCC-SLP
• Linda Goldstein, MD
• Todd A Goodglick, MD
• Eileen Patricia Goohs, LCPC
• Antoni Bernard Goral, MD
• Rhona M Gordon, M.S., CCC, SLP
• Heavenly Gore, MASSAGE THERAPIST

• Radiography Radiologic Technologist in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Radiography Radiologic Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.