Individual provider Active NPI

Paulina Gonzalez Carcache, MD

  • Gynecology Physician
  • Hato Rey, PR
National Provider Identifier
1003468935
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
23312 Issued in PR
Practice address
Oasis Women'S Medical Center
Urb Perez Morris Calle Ponce #51
Hato Rey, PR 00917
Phone
(787) 763-6885
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 34137-R PR
Gynecology Physician 207VG0400X 23312 PR Primary

Addresses

Primary practice location

Oasis Women'S Medical Center
Urb Perez Morris Calle Ponce #51
Hato Rey, PR 00917

Mailing address

R33 Calle Nebraska Urb Mallorca
Guaynabo, PR 00969
Phone (939) 644-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119002133 PR Practitioner - Obstetrics/Gynecology 2860926912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23312PRMDGynecology Physician
34137-RPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carcache Gynecology Gynecology CurrentSince Aug 21, 2024 Accepting new patients

Locations

59 Ave Esmeralda
Guaynabo, PR 00969
Phone (787) 720-3234

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1003468935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "R33 CALLE NEBRASKA URB MALLORCA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "939-644-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OASIS WOMEN'S MEDICAL CENTER",
            "address_2": "URB PEREZ MORRIS CALLE PONCE #51",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-763-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CARCACHE",
        "first_name": "PAULINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "34137-R",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "23312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.