Individual provider Active NPI

Antonio Riutort-Gonzalez, M.D.

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1629078456
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5427 Issued in PR
Practice address
1475 Calle Wilson
Wilson Medical BLDG. Office 2-a
San Juan, PR 00907-2357
Phone
(787) 728-4957
Fax
(787) 728-1635
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 5427 PR Primary

Addresses

Primary practice location

1475 Calle Wilson
Wilson Medical BLDG. Office 2-a
San Juan, PR 00907-2357

Mailing address

1475 Calle Wilson
Wilson Medical BLDG. Office 2-a
San Juan, PR 00907-2357
Phone (787) 728-4957

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
I20070124000353 PR Practitioner - Dermatology 0042211781 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1475 Calle Wilson
San Juan, PR 00907-2315
Phone (787) 728-4957

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions937
Removal or shaving of skin growth1-10
Skin biopsy25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5427PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1629078456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 CALLE WILSON",
            "address_2": "WILSON MEDICAL BLDG. OFFICE 2-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072357",
            "telephone_number": "787-728-4957",
            "fax_number": "787-728-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 CALLE WILSON",
            "address_2": "WILSON MEDICAL BLDG. OFFICE 2-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072357",
            "telephone_number": "787-728-4957",
            "fax_number": "787-728-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIUTORT-GONZALEZ",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "5427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.