Active NPI
Yolanda Gonzalez-Roman, DMD
- Pediatric Dentistry
- Santurce, PR
National Provider Identifier
1972721470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 1424
- Practice address
- First Federal BLDG.
Suite 303
Santurce, PR 00909 - Phone
- (787) 723-7844
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 1424 | PR | Primary |
Addresses
Primary practice location
First Federal BLDG.
Suite 303
Santurce, PR 00909
Mailing address
Alturas de Torrimar Este
24 Calle 1
Guaynabo, PR 00969
Phone (787) 723-7844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41494GO | Other | PR | TRIPLE S PROVIDER ID |
| 1424 | Other | PR | DMD LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1424 | PR | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972721470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALTURAS DE TORRIMAR ESTE",
"address_2": "24 CALLE 1",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-723-7844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FIRST FEDERAL BLDG.",
"address_2": "SUITE 303",
"city": "SANTURCE",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-723-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-ROMAN",
"first_name": "YOLANDA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PR",
"license": "1424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S PROVIDER ID",
"identifier": "41494GO",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMD LICENSE",
"identifier": "1424",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santurce, 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.