Modesto J Gonzalez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

6296 Issued in PR

Practice address

Carr 107 KM 2 9
Bo Borinquen
Aguadilla, PR 00603

Phone

(787) 891-7428

Fax

(787) 891-7428

NPI assigned

Aug 5, 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

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

General Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Nex-Gen Medical Services P S C

  • General Practice Physician
  • Aguadilla, PR
  • NPI 1841806742
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1629087317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250128",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040128",
            "telephone_number": "787-891-7428",
            "fax_number": "787-891-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 107 KM 2 9",
            "address_2": "BO BORINQUEN",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-891-7428",
            "fax_number": "787-891-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MODESTO",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen M Gonzalez, PHARMACIST
• Christian D Gonzalez, PHYSICIAN ASSISTANT
• Madeline Gonzalez, TECHNICIAN PHARMACIS
• Maria Ivette Gonzalez, M.D.
• Maria Lourdes Gonzalez, LAC
• Raquel M Gonzalez
• Good Shepherd Pharmacy Dba Meds Direct RX Inc (Meds Direct RX Inc)
• Ketzia Marie Grajales Cortes, PA
• Francisco Javier Green Marcos, DC
• Grupo de Medicos Asociados, Inc.

• General Practice Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.