=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033025861
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORMAN GONZALEZ CASIANO CSP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2026
-----------------------------------------------------
Last Update Date | 08/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR 117 KM 5.4 BO LAJAS ARRIBA
-----------------------------------------------------
City | LAJAS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00667
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-804-3359
-----------------------------------------------------
Fax | 787-804-4137
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 713
-----------------------------------------------------
City | YAUCO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00698-0713
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-804-3359
-----------------------------------------------------
Fax | 787-804-4137
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | NORMAN GONZALEZ CASIANO
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 787-804-3359
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------