Active NPI
Raul Alexis Ocasio Gonzalez, MD
- Physician Assistant
- Bayamon, PR
National Provider Identifier
1154929206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- Urb, Santa Cruz
B7 Calle Santa Cruz
Bayamon, PR 00961 - Phone
- (787) 786-8670
- NPI assigned
- Oct 12, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
Urb, Santa Cruz
B7 Calle Santa Cruz
Bayamon, PR 00961
Mailing address
Country States
Calle 1 A15
Bayamon, PR 00956
Phone (787) 619-8784
Other practice location 1
Country States
A15 Calle 1
Bayamon, PR 00956
Phone (787) 619-8784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1154929206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COUNTRY STATES",
"address_2": "CALLE 1 A15",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-619-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB, SANTA CRUZ",
"address_2": "B7 CALLE SANTA CRUZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-786-8670"
}
],
"practiceLocations": [
{
"address_1": "Country States",
"address_2": "A15 Calle 1",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "00956",
"country_code": "US",
"telephone_number": "787-619-8784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OCASIO GONZALEZ",
"first_name": "RAUL",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.