Individual provider Active NPI

Lydiaris Gonzalez Reyes, M.D.

  • General Practice Physician
  • Dorado, PR
National Provider Identifier
1447438940
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16936 Issued in PR
Practice address
Golden Hills C/Los Astros #5
Dorado, PR 00646-0064
Phone
(787) 665-6531
Fax
(787) 905-7281
NPI assigned
Feb 6, 2008
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 16936 PR Primary

Addresses

Primary practice location

Golden Hills C/Los Astros #5
Dorado, PR 00646-0064

Mailing address

PO Box 277
Utuado, PR 00641-0277
Phone (787) 205-7644

Other practice location 1

3 Calle Luis Munoz Rivera
Vega Alta, PR 00692
Phone (787) 883-0124

Other names 1

  • Dr. Lydiaris Gonzalez Reyes Former name

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
I20120314000107 PR Practitioner - General Practice 2961661707 Reassigns benefits to 1 organization
Practice locations: Juncos, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16936PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morovis Community Health Center, Inc. Current Accepting new patients
Morovis Community Health Center, Inc. CurrentSince May 15, 2024 Accepting new patients
Morovis Community Health Center Inc CurrentSince May 15, 2024 Accepting new patients

Locations

2 Calle Patron
Morovis, PR 00687
Phone (787) 862-3667

Organizations & group practices 3

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1447438940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006410277",
            "telephone_number": "787-205-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GOLDEN HILLS C/LOS ASTROS #5",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460064",
            "telephone_number": "787-665-6531",
            "fax_number": "787-905-7281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 CALLE LUIS MUNOZ RIVERA",
            "address_purpose": "LOCATION",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "country_code": "US",
            "telephone_number": "787-883-0124",
            "fax_number": "787-883-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ REYES",
        "first_name": "LYDIARIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIARIS",
            "last_name": "GONZALEZ REYES",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.