Individual provider Active NPI

Bernardo A Gonzalez-Gonzalez, MD

  • Surgery Physician
  • Manati, PR
National Provider Identifier
1376678870
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10825 Issued in PR
Practice address
Marginal B10
Flamboyan
Manati, PR 00674
Phone
(787) 854-1357
Fax
(787) 854-1357
NPI assigned
Feb 23, 2007
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 10825 PR Primary

Addresses

Primary practice location

Marginal B10
Flamboyan
Manati, PR 00674

Mailing address

PO Box 1729
Vega Baja, PR 00694-1729
Phone (787) 854-1357

Other identifiers 1

IdentifierTypeStateIssuer
10825OtherPRMEDICAL LICENSE

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
I20051024001127 PR Practitioner - General Surgery 8921025446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Michael Med Serv IncGroup PAC ID 0345499687, 2 clinicians

Practice addresses (Care Compare)

B10 Calle Marginal
Manati, PR 00674-5435
Phone (787) 854-1357

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy19
Melanoma (skin cancer) excision19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10825PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Michael Med Serv Inc Surgery CurrentSince Aug 14, 2012 Accepting new patients

Organizations & group practices 1

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1376678870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006941729",
            "telephone_number": "787-854-1357",
            "fax_number": "787-854-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARGINAL B10",
            "address_2": "FLAMBOYAN",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-1357",
            "fax_number": "787-854-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-GONZALEZ",
        "first_name": "BERNARDO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "10825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "10825",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.