Individual provider Active NPI

Roberto L Gonzalez-Sala, M.D.

  • Diagnostic Radiology Physician
  • Caguas, PR
National Provider Identifier
1093932071
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8236 Issued in PR
Practice address
50 Ave L Munoz Marin
Quadrangle Medical Center, Suite 208
Caguas, PR 00725-3975
Phone
(787) 746-1688
Fax
(787) 746-2292
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 8236 PR Primary
Diagnostic Ultrasound Physician 2085U0001X 8236 PR

Addresses

Primary practice location

50 Ave L Munoz Marin
Quadrangle Medical Center, Suite 208
Caguas, PR 00725-3975

Mailing address

PO Box 1754
Caguas, PR 00726-1754
Phone (787) 746-1688

Other identifiers 2

IdentifierTypeStateIssuer
29872OtherPRMEDICARE
M6869OtherPRCRUZ AZUL DE PR PROVIDER

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
I20090116000369 PR Practitioner - Diagnostic Radiology 2365346541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University Central del Caribe Escuela de Medicina, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologia del Turabo, C.S.P.Group PAC ID 7810134699, 11 clinicians
Sono X Ray Radiology GroupGroup PAC ID 6406750769, 15 clinicians

Practice addresses (Care Compare)

50 Ave Luis Munoz
Suite 209
Caguas, PR 00725-3981
Phone 7877461688240

50 Ave Luis Munoz Marin
Suite 107 108
Caguas, PR 00725-3975
Phone (787) 746-1688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8236PRMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologia del Turabo, C.S.P. Diagnostic Radiology CurrentSince Apr 1, 2013 Accepting new patients
Sono X Ray Radiology Group Diagnostic Radiology CurrentSince Aug 21, 1992 Accepting new patients

Locations

50 Ave Luis Munoz Marin
Ste 208
Caguas, PR 00725
Phone (787) 746-1688

Organizations & group practices 2

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1093932071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261754",
            "telephone_number": "787-746-1688",
            "fax_number": "787-746-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AVE L MUNOZ MARIN",
            "address_2": "QUADRANGLE MEDICAL CENTER, SUITE 208",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253975",
            "telephone_number": "787-746-1688",
            "fax_number": "787-746-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-SALA",
        "first_name": "ROBERTO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "8236",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "8236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "29872",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PR PROVIDER",
            "identifier": "M6869",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.