Adolfo Gonzalez Sac

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12955 Issued in PR

Practice address

408 Calle Almirante
Mayaguez, PR 00682-6242

Phone

(787) 241-6256

NPI assigned

Jul 19, 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

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

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.

• Centro de Cancer de la Universidad

  • Hematology & Oncology Physician
  • San Juan, PR
  • NPI 1215418751
  Medicare reassignment NPD
• Rincon Medical Center

  • Emergency Care Clinic/Center
  • Rincon, PR
  • NPI 1265478028
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1124047279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 CALLE ALMIRANTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826242",
            "telephone_number": "787-241-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CALLE ALMIRANTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826242",
            "telephone_number": "787-241-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ SAC",
        "first_name": "ADOLFO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MEDICARE",
            "identifier": "0090248",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noemi Gonzalez Lopez
• Kevin Daniel Gonzalez Melendez, MD
• Brian Gonzalez Moreno, MD
• Roberto Rene Gonzalez Pina, MD
• Jeriel Gonzalez Rosado, MD
• Brian Gonzalez Sanabia, MD, MHA
• Joann Marie Gonzalez Vale, MD
• Betzaida Gonzalez Valentin, M.D.
• Angelica M Gonzalez Vega, DR
• Amalia Gonzalez-Velez, PSY.D.

• General Practice Physician in Mayaguez, PR
• Providers in Mayaguez, 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 Oct 1, 2013; 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.