Jose Ramon Gonzalez Chavez, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5737 Issued in PR

Practice address

Santurce Medical Mall Ave.Ponce de Leon 1801
Suite#302
Santurce, PR 00909

Phone

(787) 727-0060

Fax

(787) 761-4318

NPI assigned

Apr 10, 2006

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

Other identifiers 3

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

Specialty

Dermatology

Education

University of Puerto Rico School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Integrate Community Health System, Inc.

  • Community Health Clinic/Center
  • Ponce, PR
  • NPI 1639391022
  NPD (past)
• Integrate Community Health System, Inc.

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1821502519
  NPD (past)
• Recinto de Ciencias Medicas

  • Allergy & Immunology Physician
  • San Juan, PR
  • NPI 1184804361
  NPD (past)
• Recinto de Ciencias Medicas

  • Dermatology Physician
  • San Juan, PR
  • NPI 1295760676
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1619930682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURCHILL",
            "address_2": "SUITE#423",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-460-0478",
            "fax_number": "787-761-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTURCE MEDICAL MALL AVE.PONCE DE LEON 1801",
            "address_2": "SUITE#302",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-727-0060",
            "fax_number": "787-761-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CHAVEZ",
        "first_name": "JOSE",
        "middle_name": "RAMON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "5737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "26193",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "27226",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "5737",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Manuel Gomez Vazquez, MD
• Carlos Alberto Gomez-Marcial, M.D.
• Lori Renee Gomez
• Mariana C Gomez, M.S
• Efrain Gonzalez Arroyo, M.D.
• Ada M. Gonzalez Flores
• Carlos Manuel Gonzalez-Castrodad
• Victor Manuel Gonzalez-Estrada Jr., DDS
• Yolanda Gonzalez-Roman, DMD
• Joel Gonzalez

• Dermatology Physician in Santurce, PR
• Providers in Santurce, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.