Ludgardo Fermin Gonzalez Marin Sr., MD

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

5062PUERTORICO Issued in PR

Practice address

51-46 Main Avenue
Urbanizacion Santa Rosa 2DO Piso
Bayamon, PR 00959

Phone

(787) 585-5518

Fax

(787) 798-5275

NPI assigned

Jan 29, 2008

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1992982334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SANTA ANA AVENUE",
            "address_2": "BUZON 39 TORRIMAR TOWN PARK APTO B-203",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693361",
            "telephone_number": "787-585-5518",
            "fax_number": "787-790-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-46 MAIN AVENUE",
            "address_2": "URBANIZACION SANTA ROSA 2DO PISO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-585-5518",
            "fax_number": "787-798-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MARIN",
        "first_name": "LUDGARDO",
        "middle_name": "FERMIN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "5062PUERTORICO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osmell Gonzalez Gonzalez, DMD
• Ramon Luis Gonzalez Hernandez, PA
• Christina Michelle Gonzalez Jimenez, DPT
• Amanda Cristina Gonzalez Lind
• Andres Francisco Gonzalez Lopez, MD
• Reinaldo Gonzalez Martinez, MD FCCP
• Wigberto Josue Gonzalez Martinez, MD,MPH
• Edgardo Gonzalez Morales, M.D.
• Maria De Los a. Gonzalez Morales, PSY M.
• Katiushka Gonzalez Moro

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.