Individual provider Active NPI

Carmen I. Santos Gonzalez, M.D.

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • San Juan, PR
National Provider Identifier
1669411336
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
License
7413 Issued in PR
Practice address
269 Ave Pinero
Hyde Park
San Juan, PR 00927-3901
Phone
(787) 765-9470
Fax
(787) 751-2762
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7413 PR
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 7413 PR Primary

Addresses

Primary practice location

269 Ave Pinero
Hyde Park
San Juan, PR 00927-3901

Mailing address

269 Ave Pinero
Hyde Park
San Juan, PR 00927-3901
Phone (787) 765-9470

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
I20100302000603 PR Practitioner - Ophthalmology 8224173232 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Bo Monacillos Centro Medico de Puert
Rio Piedras, PR 00935
Phone (787) 777-3535

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Mar 29, 2019 Accepting new patients
Recinto de Ciencias Medicas Ophthalmology CurrentSince Mar 29, 2019 Accepting new patients

Locations

BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1669411336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 AVE PINERO",
            "address_2": "HYDE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009273901",
            "telephone_number": "787-765-9470",
            "fax_number": "787-751-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 AVE PINERO",
            "address_2": "HYDE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009273901",
            "telephone_number": "787-765-9470",
            "fax_number": "787-751-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS GONZALEZ",
        "first_name": "CARMEN",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "7413",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "PR",
            "license": "7413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.