Active NPI
Mario Enrique Gonzalez Bauza Sr., MD
- General Practice Physician
- Rio Grande, PR
National Provider Identifier
1205836301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 2010
- Practice address
- 3 Calle del Carmen
Rio Grande, PR 00745-3026 - Phone
- (787) 887-3259
- NPI assigned
- Jul 29, 2005
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 2010 | PR | Primary |
Addresses
Primary practice location
3 Calle del Carmen
Rio Grande, PR 00745-3026
Mailing address
3 Calle del Carmen
PO Box 817
Rio Grande, PR 00745-3026
Phone (787) 887-3259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010 | PR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1205836301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CALLE DEL CARMEN",
"address_2": "PO BOX 817",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007453026",
"telephone_number": "787-887-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CALLE DEL CARMEN",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007453026",
"telephone_number": "787-887-3259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ BAUZA",
"first_name": "MARIO",
"middle_name": "ENRIQUE",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "2010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.