Active NPI
Victor M Gordo Gonzalez Sr., MD
- Internal Medicine Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9049
- Practice address
- Ave Ponce de Leon # 708
Suite 204
San Juan, PR 00918-1000 - Phone
- (787) 756-8186
- Fax
- (787) 281-0036
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9049 | PR | Primary |
Addresses
Primary practice location
Ave Ponce de Leon # 708
Suite 204
San Juan, PR 00918-1000
Mailing address
Cond San Francisco Javier Num 406
Calle San Jose Num 50
Guaynabo, PR 00969
Phone (787) 756-8186
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Rehabilitation Services Inc
Practice addresses (Care Compare)
Uu43 Calle
Suite 30
Bayamon, PR 00956-4701
Phone (787) 787-8669
Hospital & facility affiliations
- Auxilio Mutuo Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.6 of 100
- Quality
- 66.19
- Improvement activities
- 40
- Cost
- 73.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current | Accepting new patients | |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current | Accepting new patients | |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Past | Accepting new patients |
Locations
715 Ave Ponce de Leon
#375
San Juan, PR 00917
Phone (787) 504-1100
715 Ave Ponce de Leon
Ste 1
San Juan, PR 00917
Phone 7877582000 ext. 1391
Organizations & group practices 3
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.
-
- Specialist
- San Juan, PR
- NPI 1952721433
-
- Rehabilitation Clinic/Center
- San Juan, PR
- NPI 1992369615
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1124113899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND SAN FRANCISCO JAVIER NUM 406",
"address_2": "CALLE SAN JOSE NUM 50",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-756-8186",
"fax_number": "787-281-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE PONCE DE LEON # 708",
"address_2": "SUITE 204",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009181000",
"telephone_number": "787-756-8186",
"fax_number": "787-281-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDO GONZALEZ",
"first_name": "VICTOR",
"middle_name": "M",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "9049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.