Active NPIIndividual provider

Lissette C Gonzalez

Student in an Organized Health Care Education/Training Program in Mayaguez, Puerto Rico

NPI Number1114718004
Practice location
325 Ave Algarrobo # 175, Mayaguez, PR 00682-6343
Fax
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Last updated
May 15, 2025

Lissette Carmen Gonzalez is a Student in an Organized Health Care Education/Training Program based in Mayaguez, PR. Lissette Carmen Gonzalez practices in Mayaguez, PR. The NPI Number for Lissette Carmen Gonzalez is 1114718004. The current practice location address for Lissette Carmen Gonzalez is 325 Ave Algarrobo # 175, Mayaguez, PR 00682-6343 and can be reached out via phone at 787-641-7582.

Provider Profile Details

NPI Number
1114718004
Provider Name
Lissette Carmen Gonzalez
Provider Entity Type
Individual
Gender
Female
Address
325 Ave Algarrobo # 175, Mayaguez, PR 00682-6343
Phone Number
787-641-7582
Sole Proprietor
No
Provider Enumeration Date
May 13, 2025
Last Update Date
May 15, 2025
Certification Date
May 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
325 Ave Algarrobo # 175
Mayaguez, PR 00682-6343
Zip
00682-6343
Phone Number
787-641-7582
Mayaguez, PR 00682Get directions →

Provider Business Mailing Address Details

Address
Po Box 10
Moca, PR 00676-0010
City
Moca
State
PR
Zip
00676-0010

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lissette C Gonzalez?

The NPI number of Lissette C Gonzalez is 1114718004. It was assigned on May 13, 2025 and is currently active in the NPPES registry.

What is the specialty of Lissette C Gonzalez?

Lissette C Gonzalez is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Lissette C Gonzalez practice?

The practice location is 325 Ave Algarrobo # 175, Mayaguez, PR 00682-6343. The office can be reached at 787-641-7582 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114718004 directly on the NPPES registry website.

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