DR. GRACE MARIE GONZALEZ (NPI# 1174124929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174124929 |
| Entity Type | Individual |
| Full Name | DR. GRACE MARIE GONZALEZ |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
Rodriguez Olmo, Calle Armando Vega Colon Numero 25 Arecibo PR 00612 |
| Mailing Address |
Rodriguez Olmo Calle Armando Vega Colon No. 25 Arecibo PR 00612 |
| Practice Telephone | 9394910265 |
| Mailing Telephone | 9394910265 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000539-PA | PR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | LICENCE | 000539-PA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932650785 | Grace Gonzalez | Counselor | 201 Hunt St, Apt 1622, Clermont, FL 34711-2484 | 2016-10-17 |
| 1770838344 | Grace Perpetua Gonzalez | Dental Assistant | 15440 Sherman Way, Apt 118, Van Nuys, CA 91406-4242 | 2012-07-19 |
| 1972153120 | Grace Rebecca Gonzalez | Behavior Technician | 106 Discovery, Irvine, CA 92618-3131 | 2019-09-18 |
| 1629593363 | Grace Gonzalez | Speech-Language Pathologist | 209 Main Ave S Ste 111, North Bend, WA 98045-8139 | 2017-08-03 |
| 1336355817 | Grace Gonzalez | Counselor | 9140 Van Nuys Blvd Ste 211, Panorama City, CA 91402-6764 | 2007-05-14 |
| Street Address |
RODRIGUEZ OLMO, CALLE ARMANDO VEGA COLON NUMERO 25 |
| City | ARECIBO |
| State | PR |
| Zip Code | 00612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811219 | Patricia Alejandra Alcantara | Psychologist | Arecibo Medical Plaza, 65 Ave Jose Celso Barbosa, Suite 201, Arecibo, PR 00612 | 2020-11-04 |
| 1982203980 | Advanced Gi Solutions LLC | Internal Medicine | Metropolitan Office Building Bo Pueblo Calle Jose De Di, Arecibo, PR 00612 | 2020-10-21 |
| 1922606136 | Isabel R Pogozelski | Registered Nurse | Condominio Terrazul 9, Arecibo, PR 00612 | 2020-10-12 |
| 1003413931 | Luis Jose Nieves Rivera | Physician Assistant | Carr #2 Km 65.6 Bo Factor 1, Arecibo, PR 00612 | 2020-10-05 |
| 1619583358 | Emanuel Rivera Rivera | Emergency Medical Technician, Basic | Bo. Santana, Arecibo, PR 00612 | 2020-09-18 |
| 1326653874 | Sea Hunt Ambulance Inc | Ambulance | Bo Islote Sec Parcela, Islote 2 C/8 Casa 27, Arecibo, PR 00612 | 2020-09-11 |
| 1053926451 | Los Pinos Medical Center LLC | Dietitian, Registered | Bo Santana Zona Industrial, Carr #2 Km 67.7, Arecibo, PR 00612 | 2020-09-11 |
| 1609481449 | Ipa Policlinica Familiar Factor Doctores Nieves, Csp | Clinic/Center | Carr 2 Km 65.6 Bo Factor 1, Arecibo, PR 00612 | 2020-09-09 |
| 1598370363 | Azzaro Health Medical LLC | General Practice | Urb. Vista Mar Calle Adriano Gonzalez # 14, Arecibo, PR 00612 | 2020-09-09 |
| 1235742404 | Tranmedik LLC | Non-emergency Medical Transport (VAN) | Ave Victor Rojas, Calle Marginal Edif Atlantic Breeze, Arecibo, PR 00612 | 2020-08-28 |
| Find all providers in zip 00612 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588561 | Evelyn Tellado | Physician Assistant | Bo Sabana Hoyos Sec Villa Laguna 383, St Eugenio Maria De Hostos, Vega Alta, PR 00692 | 2020-11-06 |
| 1205437316 | Ana Gabriela Silva | Physician Assistant | B41 Calle Elliot Velez, Manati, PR 00674-4615 | 2020-11-04 |
| 1790390250 | Roberto Martinez Caballero | Physician Assistant | Carr#2 Km 141.1 Ave. Severiano Cuevas Bo Caimital Bajo, Aguadilla, PR 00603 | 2020-09-11 |
| 1508476631 | Ramon Luis Gonzalez Hernandez | Physician Assistant | Q17 Calle 10 Sierra Linda, Bayamon, PR 00957-2130 | 2020-08-04 |
| 1861002073 | Giancarlo Perez Lorenzo | Physician Assistant | Jj 21 Calle 32, Urb Villa Rita, San Sebastian, PR 00685-2804 | 2020-08-03 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1225656226 | Mileidys Perez Gutierrez | Physician Assistant | 201 Ave Gautier Benitez, Consolidated Medical Plaza, Suite 101, Caguas, PR 00725 | 2020-07-07 |
| 1659995439 | Asia Elizabeth Delgado Lorenzo | Physician Assistant | #128 Ave. Ashford, Edif. Ashford Medical Plaza, Suite 201, Guayama, PR 00784 | 2020-06-08 |
| 1205458379 | Veronica Cristina Ramos Caban | Physician Assistant | Pr-693 Suite 171 Bo. BreÑas, Vega Alta, PR 00692 | 2020-05-12 |
| 1477174167 | Carolina Sanchez Diaz | Physician Assistant | 400 Carr 848 Apt 806, Carolina, PR 00987-6827 | 2020-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.