Active NPI
Olga Maria Gonzalez, L.N.D.
- Nutritionist
- Isabela, PR
National Provider Identifier
1932318391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1275
- Practice address
- Edificio Tavarez
Calle Jesus T. Pineiro # 7
Isabela, PR 00662-0344 - Phone
- (787) 717-4195
- Fax
- (787) 891-2173
- NPI assigned
- May 22, 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1275 | PR | Primary |
Addresses
Primary practice location
Edificio Tavarez
Calle Jesus T. Pineiro # 7
Isabela, PR 00662-0344
Mailing address
PO Box 344
Isabela, PR 00662-0344
Phone (787) 473-1666
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1275 | PR | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932318391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 344",
"city": "ISABELA",
"state": "PR",
"postal_code": "006620344",
"telephone_number": "787-473-1666",
"fax_number": "787-891-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIFICIO TAVAREZ",
"address_2": "CALLE JESUS T. PINEIRO # 7",
"city": "ISABELA",
"state": "PR",
"postal_code": "006620344",
"telephone_number": "787-717-4195",
"fax_number": "787-891-2173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "OLGA",
"middle_name": "MARIA",
"credential": "L.N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.