Jorge Luis Gonzalez Martinez, MD

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Practice address

4422 3Rd Ave
Bronx, NY 10457-2545

Phone

(718) 960-9000

NPI assigned

Jul 25, 2023

Sex

Male

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

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jorge.gonzalez.martinez.1@18107.direct.athenahealth.com

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1972283877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13224 POENER PL",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704336",
            "telephone_number": "703-231-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MARTINEZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amilcar Rafael Gonzalez Caraballo, MD
• Francisco Jose Gonzalez Franco, M.D.
• Yanibell Gonzalez Henriquez, MD
• Jaima Yojana Gonzalez Jimenez, NP IN ADULT HEALTH
• Antonio Gonzalez Lora, PSYD
• Alexandra Maria Gonzalez Minero, MD
• Francisco Javier Gonzalez Salazar, M.D.
• Ricardo Andres Gonzalez-Argoti
• Andrey Gonzalez-Chavarria, MD
• Stephanie Gonzalez-Hernandez

• Student Health Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Student Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.