Active NPI
Wigberto Josue Gonzalez Martinez, MD,MPH
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1265935928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19863
- Practice address
- 70 Calle Santa Cruz
Bayamon, PR 00961-7052 - Phone
- (787) 620-4747
- NPI assigned
- Mar 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 19863 | PR | Primary |
Addresses
Primary practice location
70 Calle Santa Cruz
Bayamon, PR 00961-7052
Mailing address
1 Calle 11 Apt 705
San Juan, PR 00926-6043
Other names 1
- Wigberto Josue Gonzalez Martinez
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19863 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Centro Medico del Turabo Inc | Single Specialty | Current | Accepting new patients |
Locations
70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
Single Specialty
-
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1265935928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CALLE 11 APT 705",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 CALLE SANTA CRUZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009617052",
"telephone_number": "787-620-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ MARTINEZ",
"first_name": "WIGBERTO",
"middle_name": "JOSUE",
"credential": "MD,MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-08",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "PR",
"license": "19863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WIGBERTO",
"last_name": "GONZALEZ MARTINEZ",
"middle_name": "JOSUE",
"credential": "MD,MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bayamon, PR
- Christina Michelle Gonzalez Jimenez, DPT
- Amanda Cristina Gonzalez Lind
- Andres Francisco Gonzalez Lopez, MD
- Ludgardo Fermin Gonzalez Marin Sr., MD
- Reinaldo Gonzalez Martinez, MD FCCP
- Edgardo Gonzalez Morales, M.D.
- Maria De Los a. Gonzalez Morales, PSY M.
- Katiushka Gonzalez Moro
- Wanda I Gonzalez Otero
- Esthermari Gonzalez Polanco, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.