Evelyn Gonzalez del Rio, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

11702 Issued in PR

Practice address

207 Calle Juan San Antonioedf Bosques #9
Moca, PR 00676

Phone

(787) 818-2065

Fax

(787) 818-2065

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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 TX

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.

• Pine Ridge Indian Health Service Hospital

  • General Acute Care Hospital
  • Pine Ridge, SD
  • NPI 1497786412

  TX

  Medicare reassignment NPD
• Yakama Indian Health Center

  • Federal Public Health Clinic/Center
  • Toppenish, WA
  • NPI 1528105541

  TX

  Medicare reassignment
• Pine Ridge Indian Health Service Hospital

  • Clinic/Center
  • Martin, SD
  • NPI 1003208257
  NPD
• Pine Ridge Indian Health Service Hospital

  • Clinic/Center
  • Wanblee, SD
  • NPI 1962559518
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144367103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR04 BUZON 5056",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-818-2065",
            "fax_number": "787-818-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CALLE JUAN SAN ANTONIOEDF BOSQUES #9",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-818-2065",
            "fax_number": "787-818-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DEL RIO",
        "first_name": "EVELYN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "11702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres Gonzalez Aviles Sr., OD
• Gabriela Nicole Gonzalez Cardona
• Gonzalez Colon Medical Services, C.S.P.
• Anitza Gonzalez Colon
• Eileen Rebecca Gonzalez Cruz
• Kabhir Josue Gonzalez Maisonave
• Angel L Gonzalez Perez
• Kelvin Gonzalez Soto, M.D.
• Orlando Gonzalez-Badillo, M.D.
• Monica Gonzalez-Loperena, MD

• All providers in Moca, PR
• Pediatrics 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.