Individual provider Active NPI

Emanuel Gonzalez Flores, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1629845870
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23587 Issued in PR
Practice address
B7 Calle Santa Cruz, Urb Santa Cruz
Bayamon, PR 00961
Phone
(787) 625-6111
NPI assigned
Dec 7, 2023
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23587 PR Primary

Addresses

Primary practice location

B7 Calle Santa Cruz, Urb Santa Cruz
Bayamon, PR 00961

Mailing address

17-29 Calle 9 Urb Santa Rosa
Bayamon, PR 00959-6606
Phone (939) 488-4790

Other names 1

  • Dr. Emanuel Gonzalez Flores Former name

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
I20240313003757 PR Practitioner - General Practice 0143666008 Reassigns benefits to 2 organizations
Practice locations: Bayamon, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Toa Baja, Inc. Current Accepting new patients
Metro Toa Baja Inc. CurrentSince Jul 29, 2024 Accepting new patients
CDT G.M,S.P., Inc General Practice CurrentSince Aug 10, 2025 Accepting new patients
CDT GMSP Inc CurrentSince Aug 10, 2025 Accepting new patients
Metro Toa Baja, Inc. CurrentSince Jul 29, 2024 Accepting new patients
CDT GMSP, Inc Current Accepting new patients

Locations

B7 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 780-9191

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1629845870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-29 CALLE 9 URB SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596606",
            "telephone_number": "939-488-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B7 CALLE SANTA CRUZ, URB SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-625-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ FLORES",
        "first_name": "EMANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMANUEL",
            "last_name": "GONZALEZ FLORES",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.