Individual provider Active NPI

Omar A Gonzalez Yanes

  • Otolaryngology Physician
  • San Juan, PR
National Provider Identifier
1073590691
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
12433 Issued in PR
Practice address
735 Ave. Ponce del
Torre Medica Auxilio Mutuo Suite 214
San Juan, PR 00917
Phone
(787) 766-1900
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 12433 PR Primary

Addresses

Primary practice location

735 Ave. Ponce del
Torre Medica Auxilio Mutuo Suite 214
San Juan, PR 00917

Mailing address

PO Box 364792
San Juan, PR 00936-4792

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
I20040716000258 PR Practitioner - Otolaryngology 3375522097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University Central del Caribe Escuela de Medicina, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Center LLCGroup PAC ID 0648719872, 4 clinicians

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 214
San Juan, PR 00917-5024
Phone (787) 766-1900

Urb Rio Piedras Heights
1726 Ave Lomas Verdes
San Juan, PR 00926
Phone (787) 766-1900

Merit-based Incentive Payment System (MIPS)

Final score
45 of 100Reported as individual
Quality
90
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12433PRMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Voice & Sinus Institute PSC Otolaryngology CurrentSince Apr 13, 2009 Accepting new patients
Hearing Center LLC Otolaryngology CurrentSince Oct 15, 2024 Accepting new patients
St Lukes Roosevelt Community Care Otolaryngology Past Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 214
San Juan, PR 00917
Phone (787) 766-1900

Interoperability endpoints

  • Direct secure messaging: omar.gonzalez@21064.chartlogic.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1073590691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364792",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE. PONCE DEL",
            "address_2": "TORRE MEDICA AUXILIO MUTUO SUITE 214",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-766-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ YANES",
        "first_name": "OMAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "12433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.