Active NPI
David Molina Gonzalez, GP
- Family Medicine Physician
- Camuy, PR
National Provider Identifier
1043202468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7735
- Practice address
- 4 Calle Santiago Rivera Morell
Camuy, PR 00627-2603 - Phone
- (787) 820-4617
- Fax
- (787) 820-4617
- NPI assigned
- Aug 22, 2005
- Last updated
- Feb 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7735 | PR | Primary |
Addresses
Primary practice location
4 Calle Santiago Rivera Morell
Camuy, PR 00627-2603
Mailing address
PO Box 1328
Hatillo, PR 00659-1328
Phone (787) 820-4617
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BG0900426 | Other | PR | FEDERAL LICENSE |
| 7735 | Other | PR | MEDICAL LICENSE OF PR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110211000310 | PR | Practitioner - General Practice | 6406036227 | Practice locations: Camuy, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7735 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1043202468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1328",
"city": "HATILLO",
"state": "PR",
"postal_code": "006591328",
"telephone_number": "787-820-4617",
"fax_number": "787-820-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CALLE SANTIAGO RIVERA MORELL",
"city": "CAMUY",
"state": "PR",
"postal_code": "006272603",
"telephone_number": "787-820-4617",
"fax_number": "787-820-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA GONZALEZ",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "GP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "7735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL LICENSE",
"identifier": "BG0900426",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE OF PR",
"identifier": "7735",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camuy, PR
- Mercado Roman Psychology Group PSC
- Brian Mercado Ruiz, PSYD
- Luz Omayra Mercado, MSW
- Mildred Machado Morell (Laboratorio San Jose)
- Mme Psychology LLC (Camuy Psychology Group)
- David Molina Gonzalez, M.D
- Lorna I Molina
- Samuel Angel Monroig Garcia, M.D.
- Saira Morales Gonzalez, SLP
- Caroline N Morales Santana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.