Reynaldo Gomez Adrover, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10351 Issued in PR

Practice address

Carr 149 # Km1H3
Rpto Villa Alberta # 2
Manati, PR 00674-9670

Phone

(787) 854-6562

Fax

(787) 884-0253

NPI assigned

Jul 1, 2005

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

Other identifiers 1

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

Specialty

General Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Consultorio Medico Clinico Dr. Gomez Adrover, PSCGroup PAC ID 4486895703, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Consultorio Medico Clinico Dr Gomez Adrover PSC

  • Primary Care Clinic/Center
  • Manati, PR
  • NPI 1306126990
  Medicare reassignment Care Compare group NPD Authorized official
• Geo Drug Store Pharmacy, Inc.

  • Pharmacy
  • Manati, PR
  • NPI 1558536235
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124025358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740414",
            "telephone_number": "787-854-6562",
            "fax_number": "787-884-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 149 # KM1H3",
            "address_2": "RPTO VILLA ALBERTA # 2",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006749670",
            "telephone_number": "787-854-6562",
            "fax_number": "787-884-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ ADROVER",
        "first_name": "REYNALDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83156GO",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gemigm LLC
• Gemipsc
• Geo Drug Store Pharmacy, Inc.
• Gian Carlo Gierbolini, M.D.
• Glaucoma and Cataract Specialists LLC
• Jose R Gomez Geo, MD
• Ana Maria Gomez, M.D
• Marian Gonzalez Bermudez
• Abdiel J Gonzalez Cajigas, MD
• Carlos Enrique Gonzalez Camacho, MD

• General Practice Physician in Manati, PR
• Providers in Manati, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.