Active NPIIndividual providerSole proprietor

Dr. Carlos J Gonzalez Sr., MD

Community Health Worker in Ponce, Puerto Rico

NPI Number1124426242
Practice location
2367 Calle Loma, Urb. Valle Alto, Ponce, PR 00730-4146
Fax
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Last updated
September 30, 2015

Carlos Jacobo Gonzalez is a Community Health Worker based in Ponce, PR. Carlos Jacobo Gonzalez practices in Ponce, PR and has the professional credentials of MD. The NPI Number for Carlos Jacobo Gonzalez is 1124426242 and holds a License No. 13614 (PR). The current practice location address for Carlos Jacobo Gonzalez is 2367 Calle Loma, Urb. Valle Alto, Ponce, PR 00730-4146 and can be reached out via phone at 787-595-0612.

Provider Profile Details

NPI Number
1124426242
Provider Name
Carlos Jacobo Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2367 Calle Loma, Urb. Valle Alto, Ponce, PR 00730-4146
Phone Number
787-595-0612
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 6, 2014
Last Update Date
September 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
2367 Calle Loma
Urb. Valle Alto
Ponce, PR 00730-4146
City
Ponce
Zip
00730-4146
Phone Number
787-595-0612
Ponce, PR 00730Get directions →

Provider Business Mailing Address Details

Address
2367 Calle Loma
Urb. Valle Alto
Ponce, PR 00730-4146
City
Ponce
State
PR
Zip
00730-4146
Phone Number
787-595-0612

License Information

License Number (1)
13614
License State (1)
PR
Taxonomy (1)
Community Health Worker · 172V00000X
License Number (2)
19154
License State (2)
PR
Taxonomy (2)
Community Health Worker · 172V00000X · Primary

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 Dr. Carlos J Gonzalez Sr., MD?

The NPI number of Dr. Carlos J Gonzalez Sr., MD is 1124426242. It was assigned on December 6, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Carlos J Gonzalez Sr., MD?

Dr. Carlos J Gonzalez Sr., MD is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in PR under license number 13614.

Where does Dr. Carlos J Gonzalez Sr., MD practice?

The practice location is 2367 Calle Loma, Urb. Valle Alto, Ponce, PR 00730-4146. The office can be reached at 787-595-0612 (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 1124426242 directly on the NPPES registry website.

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