Individual provider Active NPI

Lymarie I Aguila Gonzalez, MD

  • Dermatology Physician
  • Manati, PR
National Provider Identifier
1598705287
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
13427 Issued in PR
Practice address
Hosp Doctors Center
Suite 208 Torre Medica I
Manati, PR 00674
Phone
(787) 854-3850
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 13427 PR Primary

Addresses

Primary practice location

Hosp Doctors Center
Suite 208 Torre Medica I
Manati, PR 00674

Mailing address

125 Calle Camino de la Cana
Sabanera de Dorado
Dorado, PR 00646

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
I20040205000741 PR Practitioner - Dermatology 5890688535 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University Central del Caribe Escuela de Medicina, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hosp Dr Ctr Torre Medical Dr Pedro
Calle 2 KM 47.8 Suite 208
Manati, PR 00674
Phone (787) 854-2288

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision61
Removal of skin lesions3283
Removal or shaving of skin growth1-10
Skin biopsy478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13427PRMDDermatology Physician

Interoperability endpoints

  • Direct secure messaging: lymarie.aguilagonzalez@3579.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1598705287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CALLE CAMINO DE LA CANA",
            "address_2": "SABANERA DE DORADO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSP DOCTORS CENTER",
            "address_2": "SUITE 208 TORRE MEDICA I",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILA GONZALEZ",
        "first_name": "LYMARIE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "13427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.