Individual provider Active NPI

Victor Luis Perez-Gonzalez, MD

  • Internal Medicine Physician
  • Arecibo, PR
National Provider Identifier
1104356468
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21188 Issued in PR
Practice address
Urb Villa Los Santos Calle 16 V 1
Arecibo, PR 00612
Phone
(787) 879-1585
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21188 PR Primary

Addresses

Primary practice location

Urb Villa Los Santos Calle 16 V 1
Arecibo, PR 00612

Mailing address

PO Box 141567
Arecibo, PR 00614-1567
Phone (787) 647-8521

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
I20220810000117 PR Practitioner - Internal MedicinePractitioner - General Practice 0547643439 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2145
Phone (787) 647-8521

Hospital & facility affiliations

  • Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019

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

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios de Salud del Norte Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Sophrosyne Medical Alliance LLC Internal Medicine CurrentSince Apr 18, 2023 Accepting new patients
Villa Los Santos Clinic, LLC Internal Medicine Current Accepting new patients
Villa Los Santos Clinic, LLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Villa Los Santos Clinic, LLC CurrentSince May 1, 2024 Accepting new patients
Laboratorio Clinico Villa Los Santos Current Accepting new patients
J.W. Goveo P.S.C. Medical Services PastSince Jun 21, 2013 Accepting new patients

Locations

V1 Calle 16
Arecibo, PR 00612
Phone (787) 817-3144

1462 Calle Prof Augusto Rodriguez
Santurce, PR 00909
Phone (787) 238-2602

Organizations & group practices 7

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 1

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1104356468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141567",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141567",
            "telephone_number": "787-647-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA LOS SANTOS CALLE 16 V 1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-879-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-GONZALEZ",
        "first_name": "VICTOR",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.