Erick Joel Gonzalez Perez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21479 Issued in PR

Practice address

5 Paseo Las Flores Calle Clavel
Aguada, PR 00602-9235

Phone

(818) 370-5835

NPI assigned

Jun 17, 2019

Last updated

Jul 17, 2019By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital San Carlos Incorporado

  dba Hospital San Carlos Borromeo

  • Rural Acute Care Hospital
  • Moca, PR
  • NPI 1104856889
  Medicare reassignment NPD
• Servicios Hospitalistas San Carlos Borromeo

  • Hospitalist Physician
  • Moca, PR
  • NPI 1891467429
  NPD
• Servicios de Anestesia Hospital San Carlos Borromeo

  • Anesthesiology Physician
  • Moca, PR
  • NPI 1780286542
  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1669032215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 60 BOX 29242-9",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029235",
            "telephone_number": "818-370-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PASEO LAS FLORES CALLE CLAVEL",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029235",
            "telephone_number": "818-370-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PEREZ",
        "first_name": "ERICK",
        "middle_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Efrain Gerena
• Carlos Alberto Gonzalez Acevedo
• Edna L Gonzalez Esclavon, MD
• Keyla Gonzalez Lorenzo
• Kiarelys Gonzalez Lorenzo
• Itzel Y Gonzalez Ramirez
• Mirelys Gonzalez Rosa, STUDENT
• Daniela Gonzalez- Hernandez, MS-SLP
• Christopher Josue Gonzalez-Hernandez, PHARM. D.
• Damarys Gonzalez, M.D.

• General Practice Physician in Aguada, PR
• Providers in Aguada, 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 Jul 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.