Doctor Blue Katsumoto LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DOCTOR BLUE KATSUMOTO LLC

Practice address

Hospital Menonita
Ave Pedro Alvizu Campos Urb la Hacienda
Guayama, PR 00784-0011

Phone

(939) 881-0140

NPI assigned

Oct 30, 2026

Last updated

Oct 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose A Burgos GonzalezNPI 1184180515

Title

MD

Phone

(939) 881-0140

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Alberto Burgos Gonzalez, MD

  • General Practice Physician
  • Arroyo, PR
  • NPI 1184180515
  Authorized official Same address or phone

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1467350140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO BARRANCAS SECTOR EL COLLAO",
            "address_2": "CARR 773 KM 0.6 INT",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940001",
            "telephone_number": "939-881-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL MENONITA",
            "address_2": "AVE PEDRO ALVIZU CAMPOS URB LA HACIENDA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007840011",
            "telephone_number": "939-881-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR BLUE KATSUMOTO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "BURGOS GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "939-881-0140",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Diaz Rodriguez
• Magda Iris Diaz Velazquez, O.D.
• Gladymar Diaz
• Jorge Amaro Diaz, M.S.W.
• Yesmarie Diaz, MS
• Luis Alberto Dominguez Carrazquillo, DDS
• Dominguez Family Dental, CSP
• Ivelisse Dominguez, DMD
• Dr Eduardo Nadal Ortiz Dba Arco Reflejo Grupo Medicina Fisica Y Rehab
• Dr. Carlos Acevedo Rego, C.S.P.

• General Practice Physician in Guayama, PR
• Providers in Guayama, 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 Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.