Organization Active NPI

Caribbean Facial Plastic Surgery Center, PSC

Doing business as CaribbeanFPS

  • Facial Plastic Surgery Physician
  • Bayamon, PR
National Provider Identifier
1659803815
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
19036 Issued in PR
Legal business name
CARIBBEAN FACIAL PLASTIC SURGERY CENTER, PSC
Doing business as
CaribbeanFPS
Practice address
66 Calle Santa Cruz
Instituto San Pablo Suite 407
Bayamon, PR 00961
Phone
(787) 717-8911
NPI assigned
Mar 28, 2017
Last updated
Mar 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Javier David Gonzalez, MDNPI 1750512604
Title
President
Phone
(787) 249-2170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 19036 PR Primary

Addresses

Primary practice location

66 Calle Santa Cruz
Instituto San Pablo Suite 407
Bayamon, PR 00961

Mailing address

PO Box 16423
San Juan, PR 00908-6423
Phone (787) 717-8911

Other names 1

  • CaribbeanFPS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231114003627 PR Part B Supplier - Clinic/Group Practice 8426405390 Receives reassigned benefits from 1 practitioner
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

66 Calle Santa Cruz
Ste 407
Bayamon, PR 00961
Phone (787) 461-8455

60 Calle 8
Guaynabo, PR 00966
Phone (787) 717-8911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1659803815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16423",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009086423",
            "telephone_number": "787-717-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "INSTITUTO SAN PABLO SUITE 407",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-717-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN FACIAL PLASTIC SURGERY CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-249-2170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "PR",
            "license": "19036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaribbeanFPS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.