Individual provider Active NPI

Gabriel Antonio Acosta Gonzalez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
National Provider Identifier
1194163873
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
021081 Issued in PR
Practice address
1660 Loiza St
Madrid 206
San Juan, PR 00911-1867
Phone
(787) 726-5486
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 021081 PR Primary

Addresses

Primary practice location

1660 Loiza St
Madrid 206
San Juan, PR 00911-1867

Mailing address

Cond Torre San Miguel
Apt 1503
Guaynabo, PR 00969
Phone (787) 587-9917

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
I20190409001959 PR Practitioner - Pathology 4981945508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Puerto Rico School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puerto Rico Pathology Associates PGroup PAC ID 4385655760, 14 clinicians

Practice addresses (Care Compare)

198 Calle Trinidad
Suite 102
San Juan, PR 00917-2900
Phone (787) 726-5486

198 Trinidad St
Suite 102
San Juan, PR 00917-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.48 of 100Reported as group
Quality
64.96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021081PRMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Pathology Associates P Anatomic Pathology & Clinical Pathology CurrentSince Sep 25, 2018 Accepting new patients

Locations

198 Calle Trinidad
Ste 102
San Juan, PR 00917

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1194163873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND TORRE SAN MIGUEL",
            "address_2": "APT 1503",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-587-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 LOIZA ST",
            "address_2": "MADRID 206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111867",
            "telephone_number": "787-726-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA GONZALEZ",
        "first_name": "GABRIEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "021081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.