Active NPI
German Luis Gonzalez Gonzalez, M.D.
- Public Health & General Preventive Medicine Physician
- San German, PR
National Provider Identifier
1679666739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 16660
- Practice address
- Carretera # 2 KM 174.0
San German Medical Plaza Suite 202
San German, PR 00683-1905 - Phone
- (787) 264-2124
- NPI assigned
- Oct 2, 2006
- Last updated
- Jun 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 16660 | PR | Primary |
Addresses
Primary practice location
Carretera # 2 KM 174.0
San German Medical Plaza Suite 202
San German, PR 00683-1905
Mailing address
PO Box 923
Hormigueros, PR 00660-0923
Phone (787) 264-2124
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Carr 2 KM 171
San German, PR 00683
Phone (787) 264-2124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GLG Preventive Medicine Center,PSC | Current | Accepting new patients | |
| GLG Preventive Medicine Center PSC | General Practice | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- San German, PR
- NPI 1740945849
-
- Rural Health Clinic/Center
- San German, PR
- NPI 1649477928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1679666739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 923",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006600923",
"telephone_number": "787-264-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA # 2 KM 174.0",
"address_2": "SAN GERMAN MEDICAL PLAZA SUITE 202",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006831905",
"telephone_number": "787-264-2124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ GONZALEZ",
"first_name": "GERMAN",
"middle_name": "LUIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "PR",
"license": "16660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San German, PR
- Victoria M Gill, MD
- GLG Preventive Medicine Center PSC
- GLG Preventive Medicine Center,PSC
- Albaixa Gonzalez Batiz, MD
- Javier Gonzalez Buonomo, MD
- Maria E. Gonzalez Marques
- Paloma Gonzalez Marques, PSY. D.
- Carlos Adolfo Gonzalez Rodriguez, MD
- Manuel Antonio Gonzalez Rodriguez, MD
- Felix H Gonzalez, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.