Waleska Gonzalez Nieves, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17071 Issued in PR

Practice address

Calle 111 KM 1.9
Los Patriotas Ave
Lares, PR 00669

Phone

(787) 647-0478

NPI assigned

Apr 2, 2008

Last updated

Oct 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Interoperability endpoints

• Direct secure messaging: wagonzalez@cslpr.directbygreenway.com

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.

• Centro de Salud de Lares, Inc

  dba Centro Integrados de Servicios de Salud

  • Federally Qualified Health Center (FQHC)
  • Quebradillas, PR
  • NPI 1235179532
  Medicare reassignment NPD
• Centro de Salud de Lares, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lares, PR
  • NPI 1417907502
  Medicare reassignment NPD
• Centro de Salud de Lares, Inc

  dba Farmacia Centro de Salud de Lares, Inc

  • Community/Retail Pharmacy
  • Lares, PR
  • NPI 1093544132
  NPD
• Centro Diagnostico Y Tratamiento Dr Caparros Inc.

  • General Practice Physician
  • Utuado, PR
  • NPI 1659330884
  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1205008901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590009",
            "telephone_number": "787-647-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 111 KM 1.9",
            "address_2": "LOS PATRIOTAS AVE",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-647-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ NIEVES",
        "first_name": "WALESKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coralis Noemi Galarza, MS, SLP
• Griselle Galarza
• Francisco Antonio Garrastegui, M.D.
• Frankie Gelabert, PHARMD
• Irazema Gonzalez Mahiquez, PHARMACIST
• Rigoberto Gonzalez Perez, PHARM.D.
• Carmira Jazmin Gonzalez Rodriguez
• Adalberto Rafael Gonzalez-Carbia Sr., MD
• Joanelly Gonzalez-Irizarry, MD
• Cindy Gonzalez

• 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 24, 2016; 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.