Individual provider Active NPI

Nestor M Gonzalez Rodriguez, M.D.

  • Family Medicine Physician
  • Bayamon, PR
National Provider Identifier
1528014271
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8884 Issued in PR
Practice address
Plaza Rio Hondo
Local 3 R Suite 201
Bayamon, PR 00961-3106
Phone
(787) 784-5899
Fax
(787) 784-5899
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8884 PR Primary

Addresses

Primary practice location

Plaza Rio Hondo
Local 3 R Suite 201
Bayamon, PR 00961-3106

Mailing address

Plaza Rio Hondo
Local 3 R Suite 201
Bayamon, PR 00961-3106
Phone (787) 784-5899

Other names 1

  • Dr. Nestor M Gonzalez Rodriguez Professional 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
I20050709000051 PR Practitioner - General Practice 2567498827 Practice locations: Bayamon, PR; Toa Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 R Local
Suite 201
Bayamon, PR 00961
Phone (787) 784-5899

Local 3R
201 Plaza Rio Hondo
Bayamon, PR 00961

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8884PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Medico de Rio Hondo Y Levittown, PSC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1528014271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA RIO HONDO",
            "address_2": "LOCAL 3 R SUITE 201",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613106",
            "telephone_number": "787-784-5899",
            "fax_number": "787-784-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA RIO HONDO",
            "address_2": "LOCAL 3 R SUITE 201",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613106",
            "telephone_number": "787-784-5899",
            "fax_number": "787-784-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ RODRIGUEZ",
        "first_name": "NESTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "8884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NESTOR",
            "last_name": "GONZALEZ RODRIGUEZ",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.