Jose G Gandara, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

12588 Issued in PR

Practice address

351 Ave Hostos
Medical Emporium, Suite 110
Mayaguez, PR 00680-1502

Phone

(787) 805-2041

Fax

(787) 806-3315

NPI assigned

Oct 16, 2006

Last updated

Mar 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Diagnostic Radiology

Education

Ponce School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bioimagenes Medicas CSPGroup PAC ID 1850496548, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Bioimagenes Medicas CSP

  • Mammography Clinic/Center
  • Mayaguez, PR
  • NPI 1720168560
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1700966553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810876",
            "telephone_number": "787-805-2041",
            "fax_number": "787-806-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS",
            "address_2": "MEDICAL EMPORIUM, SUITE 110",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801502",
            "telephone_number": "787-805-2041",
            "fax_number": "787-806-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDARA",
        "first_name": "JOSE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "12588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana S Frontera, M.T.
• Functional Spine Chiropractic LLC
• G & Z Wellness and Health
• Gaf Radiology, PSC.
• Yaindra Gallego Toledo, MD
• Jose R Gandara, MD
• Raul Garay, M.D.
• Yaniel A Garcia Cortes, PHARMD.
• Adriana Margarita Garcia Hall
• Dempsey Garcia Mas

• Diagnostic Radiology Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.