Individual provider Active NPI

Juan M. Ramos Gonzalez, M. D.

  • Diagnostic Radiology Physician
  • Coto Laurel, PR
National Provider Identifier
1700021136
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14878 Issued in PR
Practice address
113 Calle Rey Fernando
Urb. Mansion Real
Coto Laurel, PR 00780-2625
Phone
(787) 955-5516
NPI assigned
Dec 15, 2008
Last updated
Jan 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 14878 PR Primary
General Practice Physician 208D00000X 14878 PR

Addresses

Primary practice location

113 Calle Rey Fernando
Urb. Mansion Real
Coto Laurel, PR 00780-2625

Mailing address

113 Calle Rey Fernando
Urb. Mansion Real
Coto Laurel, PR 00780-2625
Phone (787) 955-5516

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
I20180212001328 PR Practitioner - Diagnostic Radiology 0648530667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ponce School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caribbean Imaging and Radiation Treatment Center IncGroup PAC ID 4486782307, 12 clinicians

Practice addresses (Care Compare)

2225 Parra by Pass
Ponce, PR 00717-1320
Phone (787) 842-2478

54 Calle Marginal
Guayama, PR 00784-4039
Phone (787) 686-0090

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14878PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Imaging and Radiation Treatment Center,Inc Diagnostic Radiology CurrentSince May 21, 2019 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Aug 7, 2018 Accepting new patients
R S Medical Service Corp. CurrentSince Apr 1, 2023 Accepting new patients
RS Medical Service Corp CurrentSince Apr 1, 2023 Accepting new patients
Mennonite General Hospital Inc CurrentSince Aug 7, 2018 Accepting new patients

Locations

2225 Ponce Byp
Ste 103
Ponce, PR 00717
Phone (787) 842-2478

Organizations & group practices 5

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 & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1700021136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CALLE REY FERNANDO",
            "address_2": "URB. MANSION REAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802625",
            "telephone_number": "787-955-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CALLE REY FERNANDO",
            "address_2": "URB. MANSION REAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802625",
            "telephone_number": "787-955-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS GONZALEZ",
        "first_name": "JUAN",
        "middle_name": "M.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-15",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "14878",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.