Individual provider Active NPI

Huber A Tavarez Gonzalez, MD

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1023322260
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17985 Issued in PR
Practice address
Carr 474 KM 2.2
Bo Cotto
Isabela, PR 00662
Phone
(787) 830-7472
NPI assigned
Jul 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17985 PR Primary

Addresses

Primary practice location

Carr 474 KM 2.2
Bo Cotto
Isabela, PR 00662

Mailing address

PO Box 1927
Isabela, PR 00662-1927
Phone (787) 830-7472

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
I20110309000360 PR Practitioner - General Practice 1153503339 Reassigns benefits to 1 organization
Practice locations: Isabela, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 1927
Isabela, PR 00662

Prosalud Medical Ctr
Carr 474 KM 2.2 Felipe Menendez
Isabela, PR 00662
Phone (787) 830-7472

Hospital & facility affiliations

  • Nova Infusion Home health agency, Bayamon, PR, CCN 407328
  • Hospicio Luz de Esperanza Inc Hospice, Manati, PR, CCN 401574

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prosalud Medical Center PSC General Practice CurrentSince Jan 28, 2012 Accepting new patients
Nature Med Center C.S.P. Past Accepting new patients
Prosalud Medical Center P S C Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1023322260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1927",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621927",
            "telephone_number": "787-830-7472",
            "fax_number": "787-830-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 474 KM 2.2",
            "address_2": "BO COTTO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ GONZALEZ",
        "first_name": "HUBER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.