Provider Demographics
NPI:1326913682
Name:GONZALEZ-BARRETO, JONATHAN (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:GONZALEZ-BARRETO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1696
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-1696
Mailing Address - Country:US
Mailing Address - Phone:939-237-8789
Mailing Address - Fax:
Practice Address - Street 1:CARR 111 INT. 602 KM 1.8
Practice Address - Street 2:BO. ANGELES, SECTOR ALTURAS
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-1696
Practice Address - Country:US
Practice Address - Phone:939-237-8789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24706208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice