Individual provider Active NPI

Valeria Marie Gonzalez-Oliveras, MD

  • General Practice Physician
  • Aibonito, PR
National Provider Identifier
1104523935
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23663 Issued in PR
Practice address
176 Calle Jose C Vazquez
Bo. Caonillas
Aibonito, PR 00705-3309
Phone
(787) 735-8001
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23663 PR Primary

Addresses

Primary practice location

176 Calle Jose C Vazquez
Bo. Caonillas
Aibonito, PR 00705-3309

Mailing address

PO Box 578
Barranquitas, PR 00794-0578
Phone (939) 253-0697

Other practice location 1

Calle Hernandez Carrion, Urb. Atenas
Manati, PR 00674
Phone (787) 621-3700

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
I20240819003103 PR Practitioner - General Practice 5395283543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mennonite General Hospital Inc 47 clinicians

Practice addresses (Care Compare)

Calle Jose C Vazquez
Barrio Caonillas
Aibonito, PR 00705-1379
Phone (787) 434-1700

Hospital & facility affiliations

  • Hospital Menonita de Aibonito Hospital, Aibonito, PR, CCN 400018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23663PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc Current Accepting new patients
Mennonite General Hospital Inc. CurrentSince Mar 10, 2024 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Mar 10, 2024 Accepting new patients

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1104523935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940578",
            "telephone_number": "939-253-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 CALLE JOSE C VAZQUEZ",
            "address_2": "BO. CAONILLAS",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053309",
            "telephone_number": "787-735-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Hernandez Carrion, Urb. Atenas",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-621-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ-OLIVERAS",
        "first_name": "VALERIA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.