Samuel Alvarez Gonzalez, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

070 Issued in PR

Practice address

Edificio Profesional Menonita
Suite 302
Aibonito, PR 00705

Phone

(787) 630-0804

Fax

(787) 735-7390

NPI assigned

Oct 25, 2005

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: samuel.alvarezgonzalez.p1@direct.vitacare.nextgenshare.com

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

• Podiatry and Diabetic Care Center Inc.

  • Foot & Ankle Surgery Podiatrist
  • Aibonito, PR
  • NPI 1154199396

  PR

  Medicare reassignment NPD Authorized official
• Instituto de Podiatria Y Pie Diabetico de Puerto Rico

  • Podiatric Clinic/Center
  • San Juan, PR
  • NPI 1962507509

  PR

  Medicare reassignment

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1609866367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6425",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605425",
            "telephone_number": "787-630-0804",
            "fax_number": "787-799-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PROFESIONAL MENONITA",
            "address_2": "SUITE 302",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-630-0804",
            "fax_number": "787-735-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ GONZALEZ",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PR",
            "license": "070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Emanuel Alicea Melero
• Dayanara Alvarado Garcia, LCSW
• Jose Rafael Alvarado Mercado, MD
• Teresita De Jesus Alvarado-Berrios, RPH
• Carmen E. Alvarez Berrios, PHARMD
• Roberto David Alvarez, M.D.
• Angel B. Amadeo de Jesus, MD
• Vianca Sophia Aponte Rolon
• Arecibo Pathology Services CSP
• Karen M Armaiz, PHD

• All providers in Aibonito, PR
• Podiatrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.