Jose Gilberto Gonzalez-Gonzalez, D.M.D

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

918 Issued in PR

Practice address

Summit Building Box 12 1738 Amarillo Street
207-A
San Juan, PR 00926

Phone

(787) 281-0614

Fax

(787) 281-0632

NPI assigned

Oct 6, 2006

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

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992892244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE TAFT",
            "address_2": "APT. 14-C",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111203",
            "telephone_number": "787-281-0614",
            "fax_number": "787-281-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUMMIT BUILDING BOX 12 1738 AMARILLO STREET",
            "address_2": "207-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-281-0614",
            "fax_number": "787-281-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "GILBERTO",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juvan David Gonzalez-Colon
• Myrna Gonzalez-Davila
• Maria del Rosario Gonzalez-de-Rivas, M.D.
• Brenda Lizette Gonzalez-Flores, PSYD
• Edmarielis Gonzalez-Gonzalez, PHARMD
• Jose Raul Gonzalez-Inclan, M.D.
• Emmanuel Orlando Gonzalez-Irizarry, MD
• Carmen I Gonzalez-Keelan, M.D.
• Carlos M Gonzalez-Lugo, M.D.
• Miguel A Gonzalez-Manrique, MD

• Periodontics in San Juan, PR
• Providers in San Juan, PR by specialty
• Periodontics in Puerto Rico

• 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.

Verify at the official NPI Registry.