Active NPI
Diana Velazquez Gonzalez
- Nurse Practitioner
- Penuelas, PR
National Provider Identifier
1992105241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 70132
- Practice address
- 924 Calle Munoz Rivera
Penuelas, PR 00624-1410 - Phone
- (787) 908-2394
- NPI assigned
- Aug 23, 2014
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 70132 | PR | Primary |
Addresses
Primary practice location
924 Calle Munoz Rivera
Penuelas, PR 00624-1410
Mailing address
924 Calle Munoz Rivera
Penuelas, PR 00624-1410
Phone (787) 908-2394
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 |
|---|---|---|---|
| 70132 | PR | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408752000000",
"number": "1992105241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 CALLE MUNOZ RIVERA",
"city": "PENUELAS",
"state": "PR",
"postal_code": "006241410",
"telephone_number": "787-908-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 CALLE MUNOZ RIVERA",
"city": "PENUELAS",
"state": "PR",
"postal_code": "006241410",
"telephone_number": "787-908-2394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ GONZALEZ",
"first_name": "DIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-23",
"last_updated": "2014-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PR",
"license": "70132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penuelas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.