Individual provider Active NPI

Mario Enrique Gonzalez Bauza Sr., MD

  • General Practice Physician
  • Rio Grande, PR
National Provider Identifier
1205836301
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2010 Issued in PR
Practice address
3 Calle del Carmen
Rio Grande, PR 00745-3026
Phone
(787) 887-3259
NPI assigned
Jul 29, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 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

LicenseStateTypeSpecialty
2010PRMDProfessional 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.

Verify at the official NPI Registry.