DR. ALEXIS ROBERTO GONZALEZ VALLES (NPI# 1407409386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407409386 |
| Entity Type | Individual |
| Full Name | DR. ALEXIS ROBERTO GONZALEZ VALLES |
| Credential | MD |
| Practice Address |
2361 Calle Pendula Ponce PR 00716-2713 |
| Mailing Address |
121 S Orange Ave Ste 940 Orlando FL 32801-3234 |
| Practice Telephone | 4695523011 |
| Mailing Telephone | 3213326947 |
| Mailing Fax Number | 4072864515 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN1234 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 21503 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | GENERAL PRACTICE | FG8609503 | 01 |
| Street Address |
2361 CALLE PENDULA |
| City | PONCE |
| State | PR |
| Zip Code | 00716-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148041 | Amanda Ivette Orta Colon | General Practice | Los Caobos C/guayacan #1691, Ponce, PR 00716 | 2020-09-09 |
| 1568074052 | Isabel Victoria Vazquez Morales | Student in an Organized Health Care Education/Training Program | 388 Zona Industrial Rapada 2, Ponce, PR 00716 | 2020-08-18 |
| 1629687199 | Maria Elena Carvajal Mock | Student in an Organized Health Care Education/Training Program | La Alhambra, Calle Lindaraja 2609, Ponce, PR 00716 | 2020-07-30 |
| 1518576651 | Gabriel Domingo Palmieri Lagares | Student in an Organized Health Care Education/Training Program | Villa Del Carmen Ave Constancia 4406, Ponce, PR 00716 | 2020-07-24 |
| 1417565151 | Jose Rafael Pascual | Student in an Organized Health Care Education/Training Program | Phsu,388 Zona Industrial Reparada 2,ponce,pr 00716, Ponce, PR 00716 | 2020-07-20 |
| 1790302412 | Isha Marie Valerio Martinez | Social Worker | Urb Villa Del Carmen Ave Constancia, 4407, Ponce, PR 00716 | 2020-06-29 |
| 1619592011 | Luz Jeilin Morales Cruz | Psychologist | Urb Inductrial Reparada #291, Ponce, PR 00716 | 2020-06-11 |
| 1609491208 | Hogar Las Aguilas Incorporado | Custodial Care Facility | La Rambla Office Park, 621 Carr 14 Calle Marginal, Ponce, PR 00716 | 2020-06-10 |
| 1841813607 | Special Tactics and Rescue Services Corp | Case Management | 6020 Amalia Marin, Trucha, Ponce, PR 00716 | 2020-05-27 |
| 1629691274 | Heidi Ann Negron | Registered Nurse | Parcelas Sabanetas 25 Julio, 132, Ponce, PR 00716 | 2020-05-18 |
| Find all providers in zip 00716 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609718 | Daniel Eduardo Rodriguez Rossello | General Practice | 620 Calle Lady Di Apt 13, Ponce, PR 00716-3547 | 2020-11-06 |
| 1992305197 | Hector Ruben Vazquez-torres | General Practice | Valle Alto Calle Cordillera, 1146, Ponce, PR 00730 | 2020-10-27 |
| 1245847094 | Kevin Alexis Buenahora | General Practice | 1415 Calle Damasco, Urb. San Antonio, Ponce, PR 00728 | 2020-09-25 |
| 1164038162 | Jose A Torres Ramirez | General Practice | Urb. Brisas De Juliana, Calle Jarea 1050, Ponce, PR 00780 | 2020-09-16 |
| 1194330225 | Lilia Marlene Quintero | General Practice | Urb. Santa Teresita #4994 Santa Paula, Ponce, PR 00730 | 2020-09-15 |
| 1275148041 | Amanda Ivette Orta Colon | General Practice | Los Caobos C/guayacan #1691, Ponce, PR 00716 | 2020-09-09 |
| 1134747587 | Angel M Ayala Morales | General Practice | 909 Ave Tito Castro Ste 712, Ponce, PR 00716-4722 | 2020-07-13 |
| 1083240543 | Juan Machado | General Practice | Calle Almendra C22, Jardines De Fagot, Ponce, PR 00716 | 2020-03-17 |
| 1578195566 | Ana Marina Nazario Partida | General Practice | Urb. Camino Del Sur, Gaviota Street # 467, Ponce, PR 00716 | 2020-02-07 |
| 1598303984 | Gilberto Alvarez | General Practice | 2435 Blvd Luis Ferre, Ponce, PR 00717-2112 | 2019-12-16 |
| Find all providers in PONCE | ||||
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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.