Dennis Joel Gonzalez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18035 Issued in PR

Practice address

116 St. KM 6.3 Apt. 1B
Lajas, PR 00667

Phone

(787) 317-8092

NPI assigned

Oct 20, 2010

Sex

Male

Sole proprietor

Yes

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.

• Servicios Medicos del Valle de Lajas Inc

  • Emergency Care Clinic/Center
  • Lajas, PR
  • NPI 1922348788

  General Practice, PR

  Medicare reassignment NPD
• Servicios Medicos del Valle de Lajas, Inc

  • Radiology Clinic/Center
  • Lajas, PR
  • NPI 1114042926
  NPD

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

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2023.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1164732467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ST. BUILDING 3700 P.O. BOX 102",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-317-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ST. KM 6.3 APT. 1B",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-317-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DENNIS",
        "middle_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Garcia, PHARMACIST
• GB Family Healthcare, Inc
• Gerivitality Holdings LLC
• Norman Gonzalez Casiano, M.D
• Enid Gonzalez-Pagan, O.D.
• Carolina Thais Gutierrez Pacheco
• Andres Ivan Gutierrez, M.D.
• Healthy Body Factory, Inc
• Taryn Henriquez
• Myrna Rosa Hernandez Flores

• All providers in Lajas, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.