GUSTAVO GONZALEZ JR. (NPI# 1083247027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083247027 |
| Entity Type | Individual |
| Full Name | GUSTAVO GONZALEZ JR. |
| Practice Address |
222 Richmond St Providence RI 02903-4228 |
| Practice Telephone | 4018631000 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144451766 | Gustavo Gonzalez | Social Worker | 1337 Gusdorf Road, Suite M, Taos, NM 87571-6671 | 2009-07-30 |
| 1205004009 | Gustavo Gonzalez | Physical Therapist | 14629 Sw 104th St Ste 148, Miami, FL 33186-2905 | 2008-02-14 |
| 1558354332 | Gustavo Alejandro Gonzalez | Ophthalmology | 900 Cass St, Ste 103, Monterey, CA 93940-4544 | 2005-08-26 |
| 1639787195 | Gustavo Alejandro Gonzalez | Student in an Organized Health Care Education/Training Program | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2020-07-21 |
| 1558793455 | Gustavo N Gonzalez | Perfusionist | 31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041 | 2013-08-01 |
| 1295997815 | Gustavo Virgen Gonzalez | Obstetrics & Gynecology | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2008-06-25 |
| 1447286257 | Gustavo A Gonzalez Jr. | Emergency Medicine | 801 S Douglas Rd, Pembroke Pines, FL 33025-1355 | 2006-06-23 |
| Street Address |
222 RICHMOND ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821352337 | Vivek Buch | Student in an Organized Health Care Education/Training Program | 222 Richmond St, Providence, RI 02903-4228 | 2012-06-28 |
| 1568080737 | Timothy James Genovese | Student in an Organized Health Care Education/Training Program | 222 Richmond St, Providence, RI 02903-4228 | 2020-07-13 |
| 1962031856 | Nicholas Theodore Koen | Student in an Organized Health Care Education/Training Program | 222 Richmond St, Providence, RI 02903-4228 | 2020-04-03 |
| 1164058319 | Christopher Lama | Student in an Organized Health Care Education/Training Program | 222 Richmond St, Providence, RI 02903-4228 | 2020-03-19 |
| 1366078834 | Lauren Ready | Student in an Organized Health Care Education/Training Program | 222 Richmond St, Providence, RI 02903-4228 | 2020-03-17 |
| 1114553641 | Joseph Donnelly | Student in an Organized Health Care Education/Training Program | 222 Richmond St, Providence, RI 02903-4228 | 2020-03-16 |
| 1699301390 | Brandon Tyree Scott | Student in an Organized Health Care Education/Training Program | 222 Richmond St, Providence, RI 02903-4228 | 2020-03-14 |
| 1568098366 | Danielle Hollenbeck-pringle | Student in an Organized Health Care Education/Training Program | 222 Richmond St, Providence, RI 02903-4228 | 2020-03-13 |
| 1811522774 | Scott Gummerson | Student in an Organized Health Care Education/Training Program | 222 Richmond St, Providence, RI 02903-4228 | 2020-03-10 |
| 1427683622 | Allison Froehlich | Student in an Organized Health Care Education/Training Program | 222 Richmond St, Providence, RI 02903-4228 | 2020-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1346856382 | Carly Danielle Masse | Student in an Organized Health Care Education/Training Program | 350 Eddy St, Providence, RI 02903-4202 | 2020-09-16 |
| 1194337220 | Shannon Adams | Student in an Organized Health Care Education/Training Program | Brown University Box G-9999, Providence, RI 02912-0001 | 2020-08-19 |
| 1023647534 | Mary Reedy | Student in an Organized Health Care Education/Training Program | 17 University Ave, Providence, RI 02906-4121 | 2020-04-06 |
| 1730747502 | Kristian Georgiev | Student in an Organized Health Care Education/Training Program | Brown University Box G-9525, Providence, RI 02912-0001 | 2019-06-05 |
| 1053975896 | Chad Simon | Student in an Organized Health Care Education/Training Program | 70 Kennedy Plz Unit 2, Providence, RI 02903-2000 | 2019-04-26 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1134616055 | Muyide Olujola Satiregun | Student in an Organized Health Care Education/Training Program | 252 Dudley St, Providence, RI 02907-1011 | 2018-04-16 |
| 1659887503 | Michele Tracy Diamond | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave Bldg 2, Providence, RI 02908-4734 | 2017-12-14 |
| 1851821268 | Jia Jennifer Ding | Student in an Organized Health Care Education/Training Program | 101 Dudley St Ste 1440, Providence, RI 02905-2401 | 2017-06-18 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
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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.