Active NPI
Zenaida Gonzalez, LCDA.
- Clinical Medical Laboratory
- Moca, PR
National Provider Identifier
1922219575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1137
- Practice address
- Calle Barbosa
Sector Cuba, KM 5.2
Moca, PR 00676 - Phone
- (787) 818-2822
- Fax
- (787) 818-2822
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1137 | PR | Primary |
Addresses
Primary practice location
Calle Barbosa
Sector Cuba, KM 5.2
Moca, PR 00676
Mailing address
Calle Barbosa 326
Sector Cuba, KM 5.2
Moca, PR 00676
Phone (787) 818-2822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080418000420 | PR | Part B Supplier - Independent Clinical Laboratory | 0941385603 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Moca, PR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1137 | PR | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1922219575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE BARBOSA 326",
"address_2": "SECTOR CUBA, KM 5.2",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-818-2822",
"fax_number": "787-818-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE BARBOSA",
"address_2": "SECTOR CUBA, KM 5.2",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-818-2822",
"fax_number": "787-818-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ZENAIDA",
"name_prefix": "Mrs.",
"credential": "LCDA.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "1137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.