Luis Rafael Nieves Gonzalez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15589 Issued in PR

Practice address

Carretera 2 KM 112.2
Bo Mora
Isabela, PR 00662-4800

Phone

(787) 830-8866

Fax

(787) 830-8866

NPI assigned

Jun 6, 2006

Sex

Male

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

Specialty

General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Luis R. Nieves Gonzalez MD, PSC

  • General Practice Physician
  • Isabela, PR
  • NPI 1760787071
  Medicare reassignment NPD Authorized official
• Cima HMO Corp

  • General Practice Physician
  • Isabela, PR
  • NPI 1720455876
  NPD
• G4 Medical of Puerto Rico, Inc

  • Specialist
  • Isabela, PR
  • NPI 1699722439
  NPD (past)
• Servicios Psiquiatricos Galateo LLC

  • Psychiatry Physician
  • Isabela, PR
  • NPI 1306494091
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1215976782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620484",
            "telephone_number": "787-407-4424",
            "fax_number": "787-830-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 2 KM 112.2",
            "address_2": "BO MORA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624800",
            "telephone_number": "787-830-8866",
            "fax_number": "787-830-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES GONZALEZ",
        "first_name": "LUIS",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Nazario Lazo, O.D
• Negron Ambulance Inc
• Leonardo Gabriel Negron Roche, BSN, RN
• Hector Negron-Benejam, BSN-27469
• Miriam Nelson
• Joraida Nieves, M.S.
• Monica Nieves, MT
• Valerie Angelis Nieves
• Victor Nieves
• Walter Nieves, MD

• General Practice Physician in Isabela, PR
• Providers in Isabela, 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 Jan 14, 2011; 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.

Verify at the official NPI Registry.