Individual provider Active NPI

Edwin Orlando Goyco, M.D.

  • Internal Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1245221290
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11090 Issued in PR
Practice address
27 Calle Nelson Perea
Doctor's Center Suite 101
Mayaguez, PR 00680-4949
Phone
(787) 834-2202
Fax
(787) 834-2202
NPI assigned
Oct 31, 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
Internal Medicine Physician 207R00000X 11090 PR Primary

Addresses

Primary practice location

27 Calle Nelson Perea
Doctor's Center Suite 101
Mayaguez, PR 00680-4949

Mailing address

PO Box 3203
Mayaguez, PR 00681-3203
Phone (787) 834-2202

Other identifiers 1

IdentifierTypeStateIssuer
89130OtherTRIPLE SSS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121108000190 PR Practitioner - Internal Medicine 6507017142 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 Calle Peral
Suite 101 Doctor Center
Mayaguez, PR 00680
Phone (787) 834-2202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11090PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc Past Accepting new patients
Policlinica Dr. Radames Marin Inc Internal Medicine PastSince Aug 23, 1993 Accepting new patients
Centro de Vacunacion Policlinica Dr. Radames Marin, Inc. Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245221290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3203",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813203",
            "telephone_number": "787-834-2202",
            "fax_number": "787-834-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE NELSON PEREA",
            "address_2": "DOCTOR'S CENTER SUITE 101",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804949",
            "telephone_number": "787-834-2202",
            "fax_number": "787-834-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYCO",
        "first_name": "EDWIN",
        "middle_name": "ORLANDO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "89130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.