Active NPI
Luis Jomar Reyes Gonzalez, MD
- Physician Assistant
- Vega Alta, PR
National Provider Identifier
1609674977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001844
- Practice address
- 5 C Luis Munoz Rivera
Vega Alta, PR 00692 - Phone
- (787) 270-4838
- NPI assigned
- Mar 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001844 | PR | Primary |
Addresses
Primary practice location
5 C Luis Munoz Rivera
Vega Alta, PR 00692
Mailing address
5C Luis Munoz Rivera
Vega Alta, PR 00692
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001844 | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1609674977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5C LUIS MUNOZ RIVERA",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 C LUIS MUNOZ RIVERA",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-270-4838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES GONZALEZ",
"first_name": "LUIS",
"middle_name": "JOMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-04",
"last_updated": "2025-03-04",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "001844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.