Carlos M Gonzalez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5773 Issued in PR

Practice address

Calle 24 Bloq. 11 #18
Villa Carolina
Carolina, PR 00985

Phone

(787) 757-7030

Fax

(787) 757-7030

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Pediatric Medicine

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1720070055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB CIUDAD JARDIN APARTADO 265",
            "address_2": "A63 CALLE SIEMPREVIVA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290265",
            "telephone_number": "787-757-7030",
            "fax_number": "787-757-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 24 BLOQ. 11 #18",
            "address_2": "VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-757-7030",
            "fax_number": "787-757-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CARLOS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "5773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette De Lourdes Gonzalez
• Antonio Gonzalez, M.D.
• Ariel Gonzalez, M.D.
• Bryan Gregory Gonzalez
• Carlos A. Gonzalez, M.D.
• Carmen Arlene Gonzalez, PSY. D
• Carol Stephanie Gonzalez, PH.D.
• Hector E Gonzalez, M.D.
• Ilean Y. Gonzalez, PHARMACY TECHNICIAN
• Jennifer Gonzalez, PHARMD

• Pediatrics Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.