Active NPI
Roberto L Gonzalez-Sala, M.D.
- Diagnostic Radiology Physician
- Caguas, PR
National Provider Identifier
1093932071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 8236
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29872 | Other | PR | MEDICARE |
| M6869 | Other | PR | CRUZ 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8236 | PR | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologia del Turabo, C.S.P. | Diagnostic Radiology | Current | Accepting new patients |
| Sono X Ray Radiology Group | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Caguas, PR
- NPI 1023349339
-
- Diagnostic Radiology Physician
- Caguas, PR
- NPI 1932223237
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.