Active NPI
Marisol Milagros Gonzalez
- Occupational Therapist
- San Juan, PR
National Provider Identifier
1982954707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1131
- Practice address
- 759 Ave Avelino Vicente
San Juan, PR 00909-2615 - Phone
- (787) 410-5443
- Fax
- (787) 724-5559
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1131 | PR | Primary |
Addresses
Primary practice location
759 Ave Avelino Vicente
San Juan, PR 00909-2615
Mailing address
Urb Ocean Park
2007 Calle Espana Apt C
San Juan, PR 00911
Phone (732) 216-7520
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 |
|---|---|---|---|
| 1131 | PR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1982954707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB OCEAN PARK",
"address_2": "2007 CALLE ESPANA APT C",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00911",
"telephone_number": "732-216-7520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 AVE AVELINO VICENTE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092615",
"telephone_number": "787-410-5443",
"fax_number": "787-724-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARISOL",
"middle_name": "MILAGROS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "1131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.