Individual provider Active NPI

Nelson Espinell-Gonzalez, M.D.

  • Interventional Cardiology Physician
  • Manati, PR
National Provider Identifier
1093966079
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
17910 Issued in PR
Practice address
668 Hernandez Carrion
Suite 203
Manati, PR 00674
Phone
(787) 918-0066
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17910 PR
Cardiovascular Disease Physician 207RC0000X 17910 PR
Interventional Cardiology Physician 207RI0011X 17910 PR Primary

Addresses

Primary practice location

668 Hernandez Carrion
Suite 203
Manati, PR 00674

Mailing address

PO Box 1040
Manati, PR 00674-1040
Phone (787) 918-0066

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
I20161103000412 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 7618255142 Reassigns benefits to 1 organization
Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pci Group LLCGroup PAC ID 4688985625, 6 clinicians

Practice addresses (Care Compare)

1 Calle Jose D Candelas
Suite 203
Manati, PR 00674-5526
Phone (787) 918-0066

Hospital & facility affiliations

  • Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114
  • Bayamon Medical Center Hospital, Bayamon, PR, CCN 400032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17910PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pci Group LLC Cardiovascular Disease CurrentSince Oct 3, 2016 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1093966079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1040",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741040",
            "telephone_number": "787-918-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 HERNANDEZ CARRION",
            "address_2": "SUITE 203",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-918-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINELL-GONZALEZ",
        "first_name": "NELSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17910",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "17910",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "17910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.