Omayra L Gonzalez, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

13275 Issued in PR

Practice address

San Juan City Hospital
Medical Center
San Juan, PR 00936

Phone

(787) 766-2223

NPI assigned

Aug 23, 2005

Last updated

May 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Hematology/Oncology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Oncologico Dr Isaac Gonzalez Martinez Hospital, San Juan, PR, CCN 400012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Advanced Hematology and Oncology Services LLC

  • Hematology & Oncology Physician
  • Cayey, PR
  • NPI 1417656372
  Medicare reassignment NPD Authorized official
• Centro de Hemtologia Y Oncologia Avanzada,C.S.P.

  • Specialist
  • Caguas, PR
  • NPI 1679876510
  Authorized official Same address or phone
• Centro de Cancer de la Montana CSP

  • Hematology & Oncology Physician
  • Aibonito, PR
  • NPI 1225020662
  NPD (past)
• Liga Puertorriquena Contra El Cancer

  dba Hospital Oncologico Dr. Issac Gonzalez Martinez

  • Special Hospital
  • San Juan, PR
  • NPI 1407852338
  NPD (past)

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

• Liga Puertorriquena Contra El Cancer

  dba Hospital Oncologico Dr. Issac Gonzalez Martinez

  • Special Hospital
  • San Juan, PR
  • NPI 1407852338
  Care Compare affiliation

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1053304279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CALLE JUAN C BORBON STE 67-286",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695374",
            "telephone_number": "787-638-2806",
            "fax_number": "787-263-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JUAN CITY HOSPITAL",
            "address_2": "MEDICAL CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-766-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "OMAYRA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "13275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzy M Gonzalez
• Nanette L Gonzalez, M.D.
• Natalia Cristina Gonzalez
• Nestor Manuel Gonzalez, MD
• Norma Jean Gonzalez, R.PH.
• Patricia Sofia Gonzalez
• Rafael Alberto Gonzalez, PH.D.
• Ramon H. Gonzalez, M.D.
• Rebecca I Gonzalez
• Ricky Omar Gonzalez, DMD

• Hematology & Oncology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Hematology & Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.