Individual provider Active NPI

Dennis Rivera -Gonzalez, MD

  • General Practice Physician
  • Utuado, PR
National Provider Identifier
1578555652
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
#12404 Issued in PR
Practice address
Barrio Don Alonso Abajo Sector Bujosa
Utuado, PR 00641
Phone
(787) 894-4322
Fax
(787) 894-4322
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X #12404 PR Primary

Addresses

Primary practice location

Barrio Don Alonso Abajo Sector Bujosa
Utuado, PR 00641

Mailing address

PO Box 1855
Utuado, PR 00641-1855
Phone (787) 894-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
#12404PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Diagnostico Y Tratamiento Dr Caparros Inc Past Accepting new patients
Centro Diagnostico Y Tratamiento Dr Caparros Inc. General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1578555652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1855",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006411855",
            "telephone_number": "787-894-4322",
            "fax_number": "787-894-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO DON ALONSO ABAJO SECTOR BUJOSA",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "00641",
            "telephone_number": "787-894-4322",
            "fax_number": "787-894-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA -GONZALEZ",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "#12404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.