Dr. Pedro P. Paez Gonzalez P.C.S.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8815 Issued in PR

Legal business name

DR. PEDRO P. PAEZ GONZALEZ P.C.S.

Practice address

Ashford Medical Ctr
Suite 600
San Juan, PR 00907-1510

Phone

(787) 725-8534

Fax

(787) 724-0200

NPI assigned

Feb 13, 2012

Last updated

Feb 13, 2012By 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. Pedro P Paez-Gonzalez, MDNPI 1992714133

Title

President

Phone

(787) 725-8534

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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.

• Pedro P Paez Gonzalez, MD

  • Cardiovascular Disease Physician
  • NPI 1992714133

  Internal Medicine, PR

  Medicare reassignment NPD Authorized official
• Lizette Morales-Navedo, PSY

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1619203023
  NPD (past)

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1548533128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190464",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190464",
            "telephone_number": "787-725-8534",
            "fax_number": "787-724-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASHFORD MEDICAL CTR",
            "address_2": "SUITE 600",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-725-8534",
            "fax_number": "787-724-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PEDRO P. PAEZ GONZALEZ P.C.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "PAEZ-GONZALEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-725-8534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.