OrganizationMedicina Familiar Johannie Gonzalez Md LlcGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressBo Bayaney, Carr 129 Km 13.6, Hatillo, PR 00659(787) 317-7196PECOS EnrollmentBased on the most recent information from CMS, provider Medicina Familiar Johannie Gonzalez Md Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1124635453Provider TypeOrganizationFull NameMedicina Familiar Johannie Gonzalez Md LlcSubpartNoEnumeration Date9/30/2020Last Updated1/4/2021Contact InformationPractice LocationPractice AddressBo Bayaney, Carr 129 Km 13.6, Hatillo, PR 00659Phone(787) 317-7196FaxUnlisted FaxMailing LocationMailing AddressHc 3 Box 20416, Arecibo, PR 00612-8126PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameGonzalez, Johannie (President)Phone(787) 820-8334Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer