JOHANNIE GONZALEZ MD
NPI 1629529763
General Practice in Hatillo, PR

Q: What is Johannie Gonzalez's NPI number?

The NPI number for Johannie Gonzalez is 1629529763. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Q: What is Johannie Gonzalez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Johannie Gonzalez was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2016PECOS Enrolled

BO BAYANEY CARR 129 KM 13.6, HATILLO, PR 00659(787) 317-7129 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2021, Dec 7, 2020, Jun 22, 2020 and 1 more (4 updates tracked since 2016).

On this page

About Johannie Gonzalez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNIE GONZALEZ MD (NPI 1629529763) is an individual general practice provider in Hatillo, Puerto Rico, licensed in Puerto Rico (019369) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629529763

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameJOHANNIE GONZALEZCredential: MD

Location AddressBO BAYANEY CARR 129 KM 13.6Hatillo, PR 00659-0000

Mailing AddressHc 3 Box 20416Arecibo, PR 00612-8126

Phone(787) 317-7129

Sole ProprietorYes

Enumeration DateOctober 24, 2016

Last NPPES UpdateJanuary 4, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2021

✔ NPI 1629529763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in PR · 019369

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johannie Gonzalez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johannie Gonzalez's NPI number?

The NPI number for Johannie Gonzalez is 1629529763. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Johannie Gonzalez located?

Johannie Gonzalez practices at Bo Bayaney Carr 129 Km 13.6, Hatillo, PR 00659. The listed phone number is (787) 317-7129.

What is Johannie Gonzalez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Johannie Gonzalez enrolled in Medicare?

Yes. Johannie Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johannie Gonzalez was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.