Active NPI
Radames Gonzalez Olivieri Sr., M.D.
- Surgery Physician
- Ponce, PR
National Provider Identifier
1639167729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 8434
- Practice address
- 2225 Ponce by Pass
Suite 501
Ponce, PR 00717-1368 - Phone
- (787) 843-9110
- Fax
- (787) 259-2195
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 8434 | PR | Primary |
Addresses
Primary practice location
2225 Ponce by Pass
Suite 501
Ponce, PR 00717-1368
Mailing address
2225 Ponce by Pass
Suite 501
Ponce, PR 00717-1368
Phone (787) 843-9110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7310063 | Other | PR | HUMANA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060118000453 | PR | Practitioner - General Surgery | 0941224802 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639167729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 PONCE BY PASS",
"address_2": "SUITE 501",
"city": "PONCE",
"state": "PR",
"postal_code": "007171368",
"telephone_number": "787-843-9110",
"fax_number": "787-259-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 PONCE BY PASS",
"address_2": "SUITE 501",
"city": "PONCE",
"state": "PR",
"postal_code": "007171368",
"telephone_number": "787-843-9110",
"fax_number": "787-259-2195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ OLIVIERI",
"first_name": "RADAMES",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PR",
"license": "8434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "7310063",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
- Quintin Gonzalez Keelan, M.D.
- Lesliann Milagros Gonzalez Laracuente
- Laura Elena Gonzalez Lopez
- Nixalys Gonzalez Martinez, PSY.D
- Ricci Naillil Gonzalez Medina, BS, DC
- Stephanie Shani Gonzalez Olivo
- Joanmarie Gonzalez Ortiz
- Ramses V Gonzalez Perez
- Paul Javier Gonzalez Ramirez
- Angel Manuel Gonzalez Rodriguez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.