Roberto Juan Gandara, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11223 Issued in PR

Practice address

2 Calle Munoz Rivera
Esquina Goyco
Caguas, PR 00725-2603

Phone

(787) 286-2800

Fax

(787) 745-2425

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

General Practice

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Tiger Med CorpGroup PAC ID 3476707258, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Tiger Med Corp

  • Health Maintenance Organization
  • Caguas, PR
  • NPI 1205044013
  Medicare reassignment Care Compare group Authorized official
• Advance Wound Care Clinic Inc

  • Health Educator
  • Caguas, PR
  • NPI 1144502964

  General Practice

  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669489183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1357",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261357",
            "telephone_number": "787-745-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE MUNOZ RIVERA",
            "address_2": "ESQUINA GOYCO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252603",
            "telephone_number": "787-286-2800",
            "fax_number": "787-745-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDARA",
        "first_name": "ROBERTO",
        "middle_name": "JUAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "329",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENCE",
            "identifier": "11223",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NARCOTIC -  STATE LICENCE",
            "identifier": "DM 12086-5",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G-Onco PSC
• Ashley Galindez
• Eugenia M. Galindo-Ramos, MD
• Diana M. Gallardo, DMD
• Jesus Manuel Galvez, PA
• Tania Garced, MSW
• Solimar Garcia Alicea
• Carmen Elba Garcia Alvarado, O.D.
• Karina M Garcia Colon
• Brenda Garcia Cuevas

• General Practice Physician in Caguas, PR
• Providers in Caguas, 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 Mar 7, 2023; 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.