Individual provider Active NPI

Radames Vicente Rios Gonzalez, MD

  • Ophthalmology Physician
  • Cayey, PR
National Provider Identifier
1306386578
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
23754 Issued in PR
Practice address
1700 Ave Antonio R Barcelo Ste 5
Cayey, PR 00736-4132
Phone
(787) 307-2828
NPI assigned
Mar 7, 2017
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 322102 NY
Ophthalmology Physician 207W00000X 23754 PR Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 23754 PR

Addresses

Primary practice location

1700 Ave Antonio R Barcelo Ste 5
Cayey, PR 00736-4132

Mailing address

151 Calle Cesar Gonzalez Apt 503
San Juan, PR 00918-5103
Phone (787) 438-9839

Other practice location 1

1699 Calle Parana
San Juan, PR 00926-3143
Phone (787) 751-2395

Other identifiers 2

IdentifierTypeStateIssuer
23754OtherPRPHYSICIAN LICENSE
322102OtherNYPHYSICIAN LICENSE

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
I20240814005043 PR Practitioner - Ophthalmology 3274991880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 Ave Antonio R Barcelo
Cayey, PR 00736-4132
Phone (787) 307-2828

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23754PRMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Ojos LLC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients

Locations

150 E 42nd St
Fl 2
New York, NY 10017
Phone (646) 605-8119

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

1700 Ave Antonio R Barcelo
Cayey, PR 00736
Phone (787) 307-2828

1700 Ave Antonio R Barcelo
Ste 5
Cayey, PR 00736
Phone (787) 307-2828

1699 Calle Parana
San Juan, PR 00926
Phone (787) 751-2395

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.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1306386578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 CALLE CESAR GONZALEZ APT 503",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009185103",
            "telephone_number": "787-438-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 AVE ANTONIO R BARCELO STE 5",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364132",
            "telephone_number": "787-307-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1699 Calle Parana",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009263143",
            "country_code": "US",
            "telephone_number": "787-751-2395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS GONZALEZ",
        "first_name": "RADAMES",
        "middle_name": "VICENTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "322102",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "23754",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PR",
            "license": "23754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "23754",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "322102",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.