Active NPI
Ismael Gonzalez Arce, MD
- General Practice Physician
- Hatillo, PR
National Provider Identifier
1477529592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9688
- Practice address
- 137 Calle B
Bo Carrizales
Hatillo, PR 00659-1646 - Phone
- (787) 898-4590
- Fax
- (787) 898-4590
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Arecibo, PR
- NPI 1245775089
PR
-
- Emergency Medical Services (Emergency Medicine) Physician
- Arecibo, PR
- NPI 1801842661
-
- Emergency Medicine Physician
- Arecibo, PR
- NPI 1285980052
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101102001139 | PR | Practitioner - General Practice | 6103010251 |
Reassigns benefits to 1 organization Practice locations: Hatillo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9688 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platinum Emergency Physicians, PSC | Past | Accepting new patients | |
| Emergency Medicine Group of Arecibo Inc | Past | Accepting new patients |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 9688 | PR | Primary |
Addresses
Primary practice location
137 Calle B
Bo Carrizales
Hatillo, PR 00659-1646
Mailing address
HC 01 Box 7900
Hatillo, PR 00659-9706
Phone (787) 383-9775
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10903 | Other | SES HORARIO EXT | |
| P865 | Other | FIRST MEDICAL | |
| 100158 | Other | MMM | |
| M9665 | Other | CRUZ ACUL | |
| 2866 | Other | PREFERRED | |
| 6590038 | Other | HUMANA |
NPI Registry JSON
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1477529592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 01 BOX 7900",
"city": "HATILLO",
"state": "PR",
"postal_code": "006599706",
"telephone_number": "787-383-9775",
"fax_number": "787-898-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 CALLE B",
"address_2": "BO CARRIZALES",
"city": "HATILLO",
"state": "PR",
"postal_code": "006591646",
"telephone_number": "787-898-4590",
"fax_number": "787-898-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ ARCE",
"first_name": "ISMAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "9688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SES HORARIO EXT",
"identifier": "10903",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "P865",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "100158",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ ACUL",
"identifier": "M9665",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED",
"identifier": "2866",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "6590038",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.