Individual provider Active NPI

Vanessa Esther Alvarado Gonzalez, MD

  • General Practice Physician
  • Canovanas, PR
National Provider Identifier
1285874057
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17505 Issued in PR
Practice address
975 Calle Bauhinia
Canovanas, PR 00729-3410
Phone
(939) 716-0211
NPI assigned
Mar 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 17505 PR Primary

Addresses

Primary practice location

975 Calle Bauhinia
Canovanas, PR 00729-3410

Mailing address

69 Calle Hoconuco
Canovanas, PR 00729-4317
Phone (939) 716-0211

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
I20091107000011 PR Practitioner - General Practice 6608914965 Reassigns benefits to 1 organization
Practice locations: Juncos, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37 Calle Munoz Rivera
Juncos, PR 00777-3114
Phone (787) 718-3481

69 Calle Hoconuco
Canovanas, PR 00729-4317

P O Box
Suite 818
Ceiba, PR 00735-0818

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Primary Care, Mso, Inc. - Laboratorio CurrentSince Jan 27, 2024 Accepting new patients
Puerto Rico Primary Care Mso, Inc. - CDT Luquillo CurrentSince Jan 27, 2024 Accepting new patients

Locations

159 Calle Quinto Centenario
Luquillo, PR 00773
Phone (787) 500-7752

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1285874057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 CALLE HOCONUCO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007294317",
            "telephone_number": "939-716-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 CALLE BAUHINIA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293410",
            "telephone_number": "939-716-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO GONZALEZ",
        "first_name": "VANESSA",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.