Carlos J. Gonzalez Degro, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

012000 Issued in PR

Practice address

La Fuente Towncenter
Suite 11,119
Guayama, PR 00784-9998

Phone

(787) 866-4455

Fax

(787) 866-1733

NPI assigned

Apr 6, 2007

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

Psychiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Ponce Medical School Foundation Inc

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1043208804
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1659493799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 362 AVE. TITO CASTRO 609",
            "address_2": "STE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-866-4455",
            "fax_number": "787-866-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LA FUENTE TOWNCENTER",
            "address_2": "SUITE 11,119",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007849998",
            "telephone_number": "787-866-4455",
            "fax_number": "787-866-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DEGRO",
        "first_name": "CARLOS",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "012000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamilka Damaris Godineaux Manfredy, MD MEDICO GENERALIST
• Eileen Godreau, M.D.
• Golden Ambulance Inc
• Jeymi Lee Gomez
• Miguel A. Gomez, LND
• Maribel Gonzalez Ruiz, FNP-BC
• Alex A Gonzalez, RN
• Aurea Ermelinda Gonzalez
• Edmillyvee Gonzalez
• Jose Javier Gonzalez, RN

• Psychiatry Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.