Active NPI
Diego Helbert Gonzalez Bravo, M.D.
- Interventional Cardiology Physician
- Arecibo, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 21766
- Practice address
- Carretera 129, KM 1.0 Av. San Luis
Arecibo, PR 00613 - Phone
- (787) 680-7318
- NPI assigned
- Jul 31, 2015
- Last updated
- Feb 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21766 | PR | |
| Cardiovascular Disease Physician | 207RC0000X | 21766 | PR | |
| Interventional Cardiology Physician | 207RI0011X | 21766 | PR | Primary |
Addresses
Primary practice location
Carretera 129, KM 1.0 Av. San Luis
Arecibo, PR 00613
Mailing address
HC 2 Box 16386
Arecibo, PR 00612-9393
Other practice location 1
1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2199
Phone (787) 641-1616
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Puerto Rico School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11 Int Ave San Luis KM
7 Hospital Pavia Arecibo
Arecibo, PR 00612-3960
Phone (787) 680-7318
Hospital & facility affiliations
- Centro Cardiovascular de Puerto Rico Y El Caribe
- Hospital Pavia Arecibo
- Hospital Metropolitano Dr Susoni
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 26 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21766 | PR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premium Medical Group PSC | Current | Accepting new patients | |
| Cardio Life Solutions LLC | Internal Medicine | Current | Accepting new patients |
Locations
1462 Calle Prof Augusto Rodriguez
Santurce, PR 00909
Phone (787) 238-2602
Organizations & group practices 2
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.
-
- Interventional Cardiology Physician
- Arecibo, PR
- NPI 1275398083
Internal Medicine
-
- General Practice Physician
- Arecibo, PR
- NPI 1205548815
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Rio Piedras, PR
- NPI 1225017916
-
dba Hospital Pavia Arecibo
- General Acute Care Hospital
- Arecibo, PR
- NPI 1972531218
-
- General Acute Care Hospital
- Arecibo, PR
- NPI 1104862044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708128000000",
"number": "1205212248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 16386",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006129393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 129, KM 1.0 AV. SAN LUIS",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00613",
"telephone_number": "787-680-7318"
}
],
"practiceLocations": [
{
"address_1": "1462 Calle Prof Augusto Rodriguez",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009092199",
"country_code": "US",
"telephone_number": "787-641-1616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ BRAVO",
"first_name": "DIEGO",
"middle_name": "HELBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-31",
"last_updated": "2024-02-17",
"certification_date": "2024-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "21766",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "21766",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "PR",
"license": "21766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.