Individual provider Active NPI

Ana Ines Gonzalez, MD

  • Diagnostic Radiology Physician
  • Hato Rey, PR
National Provider Identifier
1144249095
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13018 Issued in PR
Practice address
715 Ave. Ponce de Leon Pda. 37
Hospital Auxilio Mutuo
Hato Rey, PR 00918
Phone
(787) 653-0505
Fax
(787) 286-7572
NPI assigned
Jul 19, 2006
Last updated
Dec 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 13018 PR
Diagnostic Radiology Physician 2085R0202X 13018 PR Primary

Addresses

Primary practice location

715 Ave. Ponce de Leon Pda. 37
Hospital Auxilio Mutuo
Hato Rey, PR 00918

Mailing address

300 Ave la Sierra
Box 203
San Juan, PR 00926-4330
Phone (787) 382-9717

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
I20050426000067 PR Practitioner - Diagnostic Radiology 2860431319 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Physicians Plaza Corporation CurrentSince Mar 17, 2022 Accepting new patients
Advance Digital Image, Corp Diagnostic Radiology CurrentSince Jan 19, 2022 Accepting new patients
Laboratorio Clinico Y de Ref de Fajardo Inc CurrentSince Mar 17, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 24, 2014 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 24, 2014 Accepting new patients
M & P Radiologos, LLC Diagnostic Radiology Past Accepting new patients
Rad One, PSC Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Center, PSC Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

151 Ave Osvaldo Molina
Fajardo, PR 00738
Phone (787) 414-4434

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1144249095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVE LA SIERRA",
            "address_2": "BOX 203",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264330",
            "telephone_number": "787-382-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE. PONCE DE LEON PDA. 37",
            "address_2": "HOSPITAL AUXILIO MUTUO",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-653-0505",
            "fax_number": "787-286-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANA",
        "middle_name": "INES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "PR",
            "license": "13018",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "13018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.