Individual provider Active NPI

Manuel R. Perez-Gonzalez, MD

  • Diagnostic Ultrasound Physician
  • Santurce, PR
National Provider Identifier
1376637165
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
4759 Issued in PR
Practice address
617 Calle Dr Pavia Fernandez
Santurce, PR 00909-2210
Phone
(787) 727-5381
Fax
(787) 728-1477
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4759 PR
Vascular & Interventional Radiology Physician 2085R0204X 4759 PR
Diagnostic Ultrasound Physician 2085U0001X 4759 PR Primary

Addresses

Primary practice location

617 Calle Dr Pavia Fernandez
Santurce, PR 00909-2210

Mailing address

34 Calle 2
San Juan, PR 00926-5917
Phone (787) 760-9208

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
I20110222000371 PR Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7517923360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Puerto Rico School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M and P Radiologos, LLCGroup PAC ID 1254397094, 21 clinicians

Practice addresses (Care Compare)

1462 Calle Profesor Augusto Rodriguez
San Juan, PR 00910-1137
Phone (787) 641-1616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
29.05 of 100Reported as group
Quality
16.53
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4759PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
M & P Radiologos, LLC Diagnostic Radiology CurrentSince Aug 12, 1993 Accepting new patients
Interventional Radiology Associates, P.S.C. Diagnostic Radiology Past Accepting new patients

Locations

1462 Calle Prof Augusto Rodriguez
Santurce, PR 00909
Phone (787) 238-2602

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1376637165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CALLE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265917",
            "telephone_number": "787-760-9208",
            "fax_number": "787-760-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 CALLE DR PAVIA FERNANDEZ",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092210",
            "telephone_number": "787-727-5381",
            "fax_number": "787-728-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-GONZALEZ",
        "first_name": "MANUEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "4759",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "4759",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "4759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.