Individual provider Active NPI

Rafael Ulises Gonzalez-Barros, MD

  • General Practice Physician
  • Rio Piedras, PR
National Provider Identifier
1174129373
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22119 Issued in PR
Practice address
Carr 844, KM 0.5 Cupey Alto
Rio Piedras, PR 00928
Phone
(787) 761-8383
NPI assigned
Dec 11, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22119 PR Primary

Addresses

Primary practice location

Carr 844, KM 0.5 Cupey Alto
Rio Piedras, PR 00928

Mailing address

PO Box 368135
San Juan, PR 00936-9135
Phone (787) 587-3545

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220114002255 PR Practitioner - General Practice 8628466349 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
HPM Foundation Inc General Practice Current Accepting new patients
HPM Foundation Inc CurrentSince Jan 20, 2022 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Oct 2, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 2, 2021 Accepting new patients

Locations

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

2020 Ave Borinquen
Santurce, PR 00915

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1174129373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368135",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009369135",
            "telephone_number": "787-587-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 844, KM 0.5 CUPEY ALTO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-761-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-BARROS",
        "first_name": "RAFAEL",
        "middle_name": "ULISES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.