Moldavia O. Tavarez Gonzalez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23264 Issued in PR

Practice address

5 Calle Albizu Campos
Aguas Buenas, PR 00703-3102

Phone

(787) 732-8595

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

General Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gemi PSCGroup PAC ID 0345568820, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Menonita de Cayey Hospital, Cayey, PR, CCN 400013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gemipsc

  • Internal Medicine Physician
  • Manati, PR
  • NPI 1831592781
  Medicare reassignment Care Compare group NPD
• RT Medical Services LLC

  • General Practice Physician
  • Aguas Buenas, PR
  • NPI 1124818190
  NPD
• Centro de Vacunacion Sab

  • Prevention Professional
  • Aguas Buenas, PR
  • NPI 1225560212
  NPD (past)

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

• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Care Compare affiliation

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1457092405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007030243",
            "telephone_number": "787-422-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE ALBIZU CAMPOS",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033102",
            "telephone_number": "787-732-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ GONZALEZ",
        "first_name": "MOLDAVIA",
        "middle_name": "O.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "moldaviatavarez@gmail.com",
            "affiliation": "N",
            "address_1": "5 Calle Albizu Campos",
            "city": "Aguas Buenas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007033102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria I Serrano, RN
• Servicios de Salud Primarios de Aguas Buenas, CSP
• SGMJ Medical Care LLC
• Francisco Jose Sifre Cestero, O.D.
• Delmarie Solorzano Vazquez
• Jose Alfredo Toro II, M.D.
• Sandra Valcarcel, D.M.D.
• Apolonia Vargas
• Jose M Vazquez Julia, MD
• Roberto Karlo Velazquez-Correa, M.D.

• General Practice Physician in Aguas Buenas, PR
• Providers in Aguas Buenas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.