Geraldo Gonzalez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13643 Issued in PR

Practice address

Carr 129 KM 21.2
Lares, PR 00669-0916

Phone

(787) 897-0560

NPI assigned

Dec 1, 2006

Last updated

Oct 16, 2015By the provider in NPPES

Sex

Male

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 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Lazargerd Medical II CSP

  • General Practice Physician
  • Lares, PR
  • NPI 1841600624
  Medicare reassignment NPD Authorized official
• San Gerardo Medical Center CSP

  • Multi-Specialty Clinic/Center
  • Lares, PR
  • NPI 1205806296
  NPD (past) Authorized official
• San Gerardo Medical Center CSP

  • Multi-Specialty Clinic/Center
  • Lares, PR
  • NPI 1659551158
  Authorized official Same address or phone
• San Lazargerd Medical II CSP

  • Diagnostic Radiology Physician
  • Lares, PR
  • NPI 1063914729
  Authorized official Same address or phone
• Laboratorio Clinico Bacteriologico Lares Inc

  • Clinical Medical Laboratory
  • Lares, PR
  • NPI 1295727865
  NPD
• San Lazargerd Medical Center, CSP

  • Multi-Specialty Clinic/Center
  • Lares, PR
  • NPI 1487956850
  NPD (past)
• San Lazargerd Medical II CSP

  • Multi-Specialty Clinic/Center
  • Lares, PR
  • NPI 1689065393
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1164590816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 916",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690916",
            "telephone_number": "787-897-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129 KM 21.2",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690916",
            "telephone_number": "787-897-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GERALDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rigoberto Gonzalez Perez, PHARM.D.
• Carmira Jazmin Gonzalez Rodriguez
• Adalberto Rafael Gonzalez-Carbia Sr., MD
• Joanelly Gonzalez-Irizarry, MD
• Cindy Gonzalez
• Jose J Gonzalez, MA
• Magaly Gonzalez
• Stephanie Yasmin Gonzalez
• Luis Alberto Grana Santiago, DMD
• Grupo Sala Emergencia Lares Medical Center

• General Practice Physician in Lares, PR
• Providers in Lares, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.