Podiatry and Diabetic Care Center Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PODIATRY AND DIABETIC CARE CENTER INC.

Practice address

Calle Dr. Troyer a-2
Bo. Caonillas
Aibonito, PR 00705

Phone

(787) 535-0335

NPI assigned

Dec 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Alvarez Gonzalez, DPMNPI 1609866367

Title

President

Phone

(787) 630-0804

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Alvarez Gonzalez, DPM

  • Podiatrist
  • Aibonito, PR
  • NPI 1609866367

  PR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1154199396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6425",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605425",
            "telephone_number": "787-535-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DR. TROYER A-2",
            "address_2": "BO. CAONILLAS",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-535-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY AND DIABETIC CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ GONZALEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-630-0804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Julio Perez-Chacon, MD
• Pedro Perez
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• Jose Antonio Pietri, MD
• Victor Manuel Polanco Sanchez, M.D.
• Victor Eusebio Polanco Soto Jr., MD
• Monique Poventud Arzola
• Precision Urology LLC
• Francisco Manuel Pujals Frye

• All providers in Aibonito, PR
• Foot & Ankle Surgery Podiatrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.