Active NPI
Fernando Valentin Gonzalez, MD
- General Practice Physician
- Arecibo, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21903
- Practice address
- 176 Calle Helio
Urb. Los Aires Serenos
Arecibo, PR 00612-8867 - Phone
- (787) 361-3459
- NPI assigned
- Mar 5, 2020
- Last updated
- Aug 7, 2020
- 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 | 21903 | PR | Primary |
Addresses
Primary practice location
176 Calle Helio
Urb. Los Aires Serenos
Arecibo, PR 00612-8867
Mailing address
176 Calle Helio
Urb. Los Aires Serenos
Arecibo, PR 00612-8867
Phone (787) 361-3459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Pavia Healthcare Center | Current | Accepting new patients | |
| Metro Pavia Healthcare Centers Inc | Current | Accepting new patients | |
| Metro Pavia Healthcare Centers Inc | Current | Accepting new patients | |
| Servicios de Salud Primarios de Barceloneta, Inc. | Current | Accepting new patients | |
| Servicios de Salud Primarios de Barceloneta, Inc. | Current | Accepting new patients | |
| Servicios de Salud Primarios de Barceloneta, Inc. | Current | Accepting new patients | |
| Platinum Emergency Physicians, PSC | Past | Accepting new patients |
Organizations & group practices 8
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.
-
- Radiology Clinic/Center
- Arecibo, PR
- NPI 1760723696
-
dba Atlantic medical Center, Inc.
- Federally Qualified Health Center (FQHC)
- Barceloneta, PR
- NPI 1972509842
-
- Emergency Medical Services (Emergency Medicine) Physician
- Arecibo, PR
- NPI 1245775089
-
dba Metro Pavia Clinic Bella Vista
- Clinical Medical Laboratory
- Bayamon, PR
- NPI 1841694072
-
- Multi-Specialty Clinic/Center
- Arecibo, PR
- NPI 1104166750
-
dba ATLANTIC MEDICAL CENTER - Laboratory
- Clinical Medical Laboratory
- Barceloneta, PR
- NPI 1396813549
-
dba Atlantic Medical Center - SH
- Federally Qualified Health Center (FQHC)
- Arecibo, PR
- NPI 1518375625
-
- Emergency Medicine Physician
- Arecibo, PR
- NPI 1285980052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1346875895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 CALLE HELIO",
"address_2": "URB. LOS AIRES SERENOS",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006128867",
"telephone_number": "787-361-3459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 CALLE HELIO",
"address_2": "URB. LOS AIRES SERENOS",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006128867",
"telephone_number": "787-361-3459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTIN GONZALEZ",
"first_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-05",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "21903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.