Jorge Luis Ciordia Gonzalez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17858 Issued in PR

Practice address

Glenview Gardens
Shooping Center # 4
Ponce, PR 00731

Phone

(787) 812-3193

NPI assigned

Nov 16, 2010

Last updated

Sep 23, 2014By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Corozal, PR
  • NPI 1184647851

  General Practice

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Comerio, PR
  • NPI 1275556946
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc.

  dba Centro de Salud Integral en Bayamon II

  • Clinic/Center
  • Bayamon, PR
  • NPI 1013777622
  NPD
• Salud Integral En la Montana, Inc.

  dba Centro Salud Integral en Dorado

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1538460944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GLENVIEW GARDENS",
            "address_2": "SHOOPING CENTER # 4",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-812-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GLENVIEW GARDENS",
            "address_2": "SHOOPING CENTER # 4",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-812-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIORDIA GONZALEZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-16",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth O Cintron
• Luis M Cintron, M.D.
• Miguel A Cintron, D.M.D.
• Sonia Iris Cintron, NURSE
• Yashira Cintron, MSW
• Marie Gabrielle Clancey-Rivera, MD STUDENT
• Teresa Class Feliciano
• Carmen Amparo Clavell, RN
• Valerie Clavell, DMD
• Yolanda C Clavell, MD

• General Practice Physician in Ponce, PR
• Providers in Ponce, 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 Sep 23, 2014; 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.

Verify at the official NPI Registry.