Carlos Ruben Gonzalez Fuentes, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

12662 Issued in PR

Practice address

923 Ave Campo Rico
Country Club
San Juan, PR 00924

Phone

(787) 750-0444

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1538262183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29005",
            "address_2": "PMB 620",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290005",
            "telephone_number": "787-755-3894",
            "fax_number": "787-757-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 AVE CAMPO RICO",
            "address_2": "COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-750-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ FUENTES",
        "first_name": "CARLOS",
        "middle_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "12662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Arnaldo Gonzalez Cuevas, PA MD
• Fabiola Nicole Gonzalez Diaz
• Melissa Gonzalez Diaz
• Andrea Gonzalez Duenas, MD
• Sofia Isabel Gonzalez Espola
• Carlos J. Gonzalez Garcia, M.D.
• Stephanie Michelle Gonzalez Garcia, MD
• Naiomi Gonzalez Gorritz, PHARM D
• Eunice Gonzalez Guang, LCDA.
• Leidiana Gonzalez Guerrero

• Specialist in San Juan, PR
• Providers in San Juan, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.