Gonzalez-Diez Otolaryngology PSC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

08699 Issued in PR

Legal business name

GONZALEZ-DIEZ OTOLARYNGOLOGY PSC

Practice address

540 Ave Miramar
Suite 3
Arecibo, PR 00612-4364

Phone

(787) 880-5031

Fax

(787) 879-4461

NPI assigned

Dec 20, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mariano Enrique Gonzalez-Diez, MDNPI 1295713055

Title

President

Phone

(787) 880-5031

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariano E Gonzalez Diez, MD

  • Otolaryngology Physician
  • Arecibo, PR
  • NPI 1295713055
  NPD (past) Authorized official
• Moraima Marrero-Vera, AU.D.

  • Audiologist
  • Utuado, PR
  • NPI 1407980311
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992781116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9945",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006139945",
            "telephone_number": "787-880-5043",
            "fax_number": "787-817-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 AVE MIRAMAR",
            "address_2": "SUITE 3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124364",
            "telephone_number": "787-880-5031",
            "fax_number": "787-879-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ-DIEZ OTOLARYNGOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-DIEZ",
        "authorized_official_first_name": "MARIANO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-880-5031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "08699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Gonzalez Ocana, MD
• Luis Gonzalez Orama, DMD
• Hector Samuel Gonzalez Padro, M.D.
• Natividad Gonzalez Rivera
• Olga Iris Gonzalez Viruet, PSYD
• Luis Gonzalez-Morales, D.M.D., M.S.
• Guelmi Gonzalez-Viruet, M.D.
• Adalberto Gonzalez
• Angel Luis Gonzalez, RPH
• Carmen Geraldine Gonzalez, PSY. D.

• Otolaryngology Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Otolaryngology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.