Individual provider Active NPI

Ricardo Gonzalez, DC

  • Chiropractor
  • Carolina, PR
National Provider Identifier
1316339302
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
540 Issued in PR
Practice address
Ave El Comandante Calle 266,
PB 30 Country Club
Carolina, PR 00982
Phone
(787) 392-5200
NPI assigned
Feb 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 540 PR Primary

Addresses

Primary practice location

Ave El Comandante Calle 266,
PB 30 Country Club
Carolina, PR 00982

Mailing address

692 Calle Mediterraneo
Ext El Comandante
Carolina, PR 00982-3632
Phone (787) 392-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150606000062 PR Practitioner - Chiropractic 0042531758 Reassigns benefits to 2 organizations
Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle 266 PB 30 Avenida El Comandante
Urb. Country Club
Carolina, PR 00982-2767
Phone (939) 489-3710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
540PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
CDT G.M,S.P., Inc CurrentSince Nov 28, 2017 Accepting new patients
Restore Life LLC Chiropractor CurrentSince Jan 21, 2025 Accepting new patients
CDT GMSP Inc CurrentSince Nov 28, 2017 Accepting new patients
CDT GMSP, Inc Current Accepting new patients
Primary Care and More LLC PastSince Jan 21, 2025 Accepting new patients

Locations

B7 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 780-9191

PB30 Calle 266
Carolina, PR 00982
Phone (787) 769-7527

Organizations & group practices 5

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": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1316339302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 CALLE MEDITERRANEO",
            "address_2": "EXT EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009823632",
            "telephone_number": "787-392-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE EL COMANDANTE CALLE 266,",
            "address_2": "PB 30 COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-392-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RICARDO",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.