Look up the most recent NPI and PECOS records

Johannie Gonzalez

General Practice

Allopathic & Osteopathic Physicians

Bo Bayaney Carr 129 Km 13.6, Hatillo, PR 00659-0000

PECOS Enrollment

Based on the most recent information from CMS, provider Johannie Gonzalez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1629529763
Provider Type
Individual
Full Name
Gonzalez, Johannie
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/24/2016
Last Updated
1/4/2021

Contact Information

Practice Location

Bo Bayaney Carr 129 Km 13.6, Hatillo, PR 00659-0000

(787) 317-7129

Unlisted Fax

Mailing Location

Hc 3 Box 20416, Arecibo, PR 00612-8126

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 019369 Puerto Rico

Johannie Gonzalez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Quiles, Gladys

Florian Ramirez, Hector O.

Ruiz Morell, Emelda

Gonzalez Rodriguez, Hermes Manuel

Delgado-Perez, Irma

Barrios Romacho, Francisco

Martinez Oliveras, Felix D.

Benavides Martinez, Rhina Elizabeth

Guilloty Rivera, Alicia

Bello Gonzalez, Pedro J