SHIRLEY GONZALEZ MD NPI 1366438616

NPI Information

  • NPI: 1366438616
  • Provider Name: SHIRLEY GONZALEZ, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 40 SPRING ST
    WATERTOWN, MA
    ZIP 02472
  • Phone: (617) 926-0114

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NPI Details

Shirley Gonzalez, MD is a pediatrics in Watertown, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Shirley Gonzalez, MD NPI is 1366438616. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

40 SPRING ST
WATERTOWN, MA
ZIP 02472-444
Phone: (617) 926-0114
Fax: (617) 926-7052

The enumeration date for this NPI number is 9/22/2005 and was last updated on 12/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics153812MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I147997MEDICARE UPIN
23201180MEDICAIDMASSACHUSETTS
3A32989MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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