Alfredo Gonzalez Gomez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

6692 Issued in PR

Practice address

5 Calle Albizu Campos
Aguas Buenas, PR 00703-3102

Phone

(787) 732-8595

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Servicios de Salud Primarios de Aguas Buenas, CSP

  • Health Maintenance Organization
  • Aguas Buenas, PR
  • NPI 1992725402
  NPD (past) Authorized official
• Centro de Vacunacion Sab

  • Prevention Professional
  • Aguas Buenas, PR
  • NPI 1225560212
  NPD
• RT Medical Services LLC

  • General Practice Physician
  • Aguas Buenas, PR
  • NPI 1124818190

  General Practice

  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104856103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007030777",
            "telephone_number": "787-732-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE ALBIZU CAMPOS",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033102",
            "telephone_number": "787-732-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GOMEZ",
        "first_name": "ALFREDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farwiacia Generila Rawallosa
• Fundacion Resiliencia, Inc.
• Federico V Garcia
• Valerie Garcia
• Geranice Rehab Health & Services
• Alfredo Ivan Gonzalez-Buxo, MD
• Jose Antonio Gonzalez, MSW, PHD
• Maria Magdalena Guerrero, O.D.
• Oscar A Gutierrez
• Rosamaria Guzman-Giron

• All providers in Aguas Buenas, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.