Individual provider Active NPI

Fernando Valentin Gonzalez, MD

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1346875895
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21903 Issued in PR
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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 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

IdentifierTypeStateIssuer
NONEOtherNONE

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
I20200901001435 PR Practitioner - General Practice 8426475781 Reassigns benefits to 3 organizations
Practice locations: Arecibo, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pavia Healthcare Center CurrentSince Mar 31, 2024 Accepting new patients
Metro Pavia Healthcare Centers Inc CurrentSince Mar 31, 2024 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. CurrentSince Jun 14, 2022 Accepting new patients
Servicios de Salud Primarios de Barceloneta, Inc. CurrentSince Jun 14, 2022 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.

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

Verify at the official NPI Registry.