Jose Luis Gonzalez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16162 Issued in PR

Practice address

55 Calle Baldorioty
Cidra, PR 00739-3450

Phone

(787) 739-0714

Fax

(787) 739-0714

NPI assigned

Oct 10, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

General Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salud Integral En la Montana IncGroup PAC ID 8527972827, 64 clinicians

Practice addresses (Care Compare)

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.

• Salud Integral En la Montana, Inc.

  dba Centro de Salud Integral en Toa Alta

  • Federally Qualified Health Center (FQHC)
  • Toa Alta, PR
  • NPI 1639372618

  General Practice

  Medicare reassignment Care Compare group NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Naranjito, PR
  • NPI 1578586244
  Medicare reassignment
• Salud Integral En la Montana, Inc

  • Emergency Care Clinic/Center
  • Naranjito, PR
  • NPI 1114408044
  NPD
• Salud Integral En la Montana, Inc

  dba Centro de Salud Integral En Bayamon

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1740772102
  NPD

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073501524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RE2 VIA PIEDRAS",
            "address_2": "RIO CRISTAL",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766016",
            "telephone_number": "787-316-9862",
            "fax_number": "787-783-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE BALDORIOTY",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393450",
            "telephone_number": "787-739-0714",
            "fax_number": "787-739-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Gonzalez Ortiz, M.D.
• Estefany Gonzalez Rivera, LCSW
• Eileen Gonzalez, RN BSN
• Gisela Gonzalez
• Jose Gonzalez, PYCHOLOGIST
• Maisha Gonzalez
• Nicole Marie Gonzalez, DMD
• Peter Joe Gonzalez, PSY.D
• Richard Graulau Rosario, M.D.
• Martha Grillasca

• General Practice Physician in Cidra, PR
• Providers in Cidra, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.