Individual provider Active NPI

Federico J Gregory-Gonzalez, M.D.

  • Internal Medicine Physician
  • Guaynabo, PR
National Provider Identifier
1376675843
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14704 Issued in PR
Practice address
Cond Madreselva
I7 Calle Ebano Apt. 602
Guaynabo, PR 00968-3100
Phone
(787) 671-6376
NPI assigned
Mar 11, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14704 PR Primary

Addresses

Primary practice location

Cond Madreselva
I7 Calle Ebano Apt. 602
Guaynabo, PR 00968-3100

Mailing address

101 San Patricio Ave
Suite 1050 Maramar Plaza
Guaynabo, PR 00966-2715
Phone (787) 946-5220

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
I20070418000274 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 9032214101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

101 Ave San Patricio
Suite 1050
Guaynabo, PR 00968-3049
Phone (787) 946-5220

Ave 65 Infanteria KM 8 HM
3 R.D.C.M. GRP Med Intrna Hac
Carolina, PR 00984-0001
Phone (787) 757-6420

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy92
Upper gastrointestinal (GI) endoscopy for acid reflux60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14704PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Internal Medicine CurrentSince Aug 1, 2007 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 1, 2007 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376675843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SAN PATRICIO AVE",
            "address_2": "SUITE 1050 MARAMAR PLAZA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662715",
            "telephone_number": "787-946-5220",
            "fax_number": "787-946-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND MADRESELVA",
            "address_2": "I7 CALLE EBANO APT. 602",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683100",
            "telephone_number": "787-671-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY-GONZALEZ",
        "first_name": "FEDERICO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.