Individual provider Active NPI

Maria Del Mar Gonzalez-Vives, M.D.

  • Family Medicine Physician
  • Luquillo, PR
National Provider Identifier
1689865073
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17074 Issued in PR
Practice address
26 Calle Fernandez Garcia
Luquillo Plaza Ofic 14a
Luquillo, PR 00773
Phone
(787) 989-2869
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17074 PR Primary

Addresses

Primary practice location

26 Calle Fernandez Garcia
Luquillo Plaza Ofic 14a
Luquillo, PR 00773

Mailing address

232 Calle Alcanfor
Urb Ciudad Jardin
Canovanas, PR 00729
Phone (787) 536-5352

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
I20090915000335 PR Practitioner - Family Practice 1759437874 Practice locations: Luquillo, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 3 Luquillo Plaza Local
Suite 23
Luquillo, PR 00773
Phone (787) 989-2869

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1689865073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 CALLE ALCANFOR",
            "address_2": "URB CIUDAD JARDIN",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-536-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE FERNANDEZ GARCIA",
            "address_2": "LUQUILLO PLAZA OFIC 14A",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "00773",
            "telephone_number": "787-989-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-VIVES",
        "first_name": "MARIA",
        "middle_name": "DEL MAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "17074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luquillo, PR

Sources for this page

Verify at the official NPI Registry.