Alex N Gonzalez Bossolo, M.D

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

19367 Issued in PR

Practice address

1801 Ave Ponce de Leon Santurce Medical Mall Suit 308
San Juan, PR 00909

Phone

(787) 726-1100

NPI assigned

Jul 17, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 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

Endocrinology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Ag Thyroid & Endocrine Clinic LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • San Juan, PR
  • NPI 1275036451

  Single Specialty

  Medicare reassignment NPD Authorized official
• Cardiolife Studies Corp.

  • Cardiovascular Specialist/Technologist
  • Guaynabo, PR
  • NPI 1376368605

  Single Specialty

  Medicare reassignment NPD

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

• Metro Santurce, Inc.

  dba Hospital Pavia Santurce

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865
  Care Compare affiliation

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1457606444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AVE PONCE DE LEON SANTURCE MEDICAL MALL SUIT 308",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-726-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVE PONCE DE LEON SANTURCE MEDICAL MALL SUIT 308",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-726-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University District Hospital",
            "address_2": "Puerto Rico Medical Center Bo Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-754-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ BOSSOLO",
        "first_name": "ALEX",
        "middle_name": "N",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "19367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457606444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valeria M. Gonzalez Albino
• Anibal Enrique Gonzalez Alvarez, MD
• Isabel Gonzalez Aponte
• Nahria Alexandra Gonzalez Benitez
• Dennis Gonzalez Betancourt, MD
• Benjamin A Gonzalez Burgos, MD
• Andrea Gonzalez Carbonell, DMD
• Anel Renee Gonzalez Cardona, MD
• Jorge Abraham Gonzalez Castillo, MD
• Melissa Marie Gonzalez Castro, D.C.

• Endocrinology, Diabetes & Metabolism Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Endocrinology, Diabetes & Metabolism Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.