Gail Vanesa Gonzalez Corchado, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16696 Issued in PR

Practice address

Ave Agustin Ramos Calero Carr 112
KM 1.4 Int
Isabela, PR 00662

Phone

(787) 830-2705

Fax

(787) 830-3059

NPI assigned

Jan 29, 2007

Last updated

Mar 18, 2020By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Integrate Community Health System

  dba Metro Pavia Clinic Humacao

  • Community Health Clinic/Center
  • Humacao, PR
  • NPI 1467674713
  Medicare reassignment NPD
• Municipio de Isabela

  • Urgent Care Clinic/Center
  • Isabela, PR
  • NPI 1477696805
  Medicare reassignment NPD
• Cima HMO Corp

  • General Practice Physician
  • Isabela, PR
  • NPI 1720455876
  Medicare reassignment
• Centro Isabelino de Medicina Avanzada Em

  • Clinical Medical Laboratory
  • Isabela, PR
  • NPI 1336289362
  NPD
• Integrate Community Health System

  dba Metro Pavia Clinic Aguadilla - Emergency Room

  • Emergency Care Clinic/Center
  • Aguadilla, PR
  • NPI 1255855201
  NPD
• Integrate Community Health System, Inc.

  dba Metro Pavia Clinic Aguadilla - Lab

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1821502519
  NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1316083108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 64602",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039841",
            "telephone_number": "787-609-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE AGUSTIN RAMOS CALERO CARR 112",
            "address_2": "KM 1.4 INT",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-2705",
            "fax_number": "787-830-3059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Calle Juan Gonzalez",
            "address_purpose": "LOCATION",
            "city": "Isabela",
            "state": "PR",
            "postal_code": "006622813",
            "country_code": "US",
            "telephone_number": "788-609-6430",
            "fax_number": "787-609-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ CORCHADO",
        "first_name": "GAIL",
        "middle_name": "VANESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Go Farma Chrismar LLC
• Jessica Goetz, PTA
• Duvier Edmundo Gomez Jimenez Sr., MD
• Sharon N Gonzalez Barbosa, MD
• Marcos Fabian Gonzalez Barreto
• Justo Luis Gonzalez Fabian
• Javier Gonzalez Ortiz, R. PH.
• Astrid N Gonzalez, MS, SLP
• Daisy Quiles Gonzalez, M.A.C.P.L.
• Idalisse Marie Gonzalez, MS

• 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 Mar 18, 2020; 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.

Verify at the official NPI Registry.