Ivan F Gonzalez-Cancel, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

9454 Issued in PR

Practice address

Ave Americo Miranda
Num 401
San Juan, PR 00927

Phone

(787) 281-0451

Fax

(787) 281-0450

NPI assigned

Jun 21, 2005

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

Other identifiers 9

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

Cardiac SurgeryAlso: Thoracic Surgery

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corporacion Centro Cardiovascular de Puerto Rico Y del CaribeGroup PAC ID 2769443472, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centro Cardiovascular de Puerto Rico Y El Caribe Hospital, San Juan, PR, CCN 400124

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe

  • Multi-Specialty Clinic/Center
  • San Juan, PR
  • NPI 1801485727
  Medicare reassignment Care Compare group NPD
• Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe

  • Special Hospital
  • Rio Piedras, PR
  • NPI 1225017916
  NPD (past)

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

• Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe

  • Special Hospital
  • Rio Piedras, PR
  • NPI 1225017916
  Care Compare affiliation

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720084171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB NUM 476",
            "address_2": "PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-281-0451",
            "fax_number": "787-281-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE AMERICO MIRANDA",
            "address_2": "NUM 401",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-281-0451",
            "fax_number": "787-281-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-CANCEL",
        "first_name": "IVAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PR",
            "license": "9454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PROVIDER NUMBER",
            "identifier": "069976",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC PROVIDER NUMBER",
            "identifier": "N791",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC PROVIDER NUMBER",
            "identifier": "1691",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA PROVIDER NUMBER",
            "identifier": "5709454",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PROVIDER NUMBER",
            "identifier": "83286",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER NUMBER",
            "identifier": "8000327",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PROVIDER NUMBER",
            "identifier": "83286GO",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI PROVIDER NUMBER",
            "identifier": "0204042",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM PROVIDER NUMBER",
            "identifier": "600087",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Gonzalez-Aquino, MD
• Marybel Gonzalez-Badillo, MD
• Mayra Lynne Gonzalez-Bayron, MD
• Beatriz Gonzalez-Bouza, MD
• Jennifer M Gonzalez-Caban
• Luis E Gonzalez-Cognet, DMD
• Juvan David Gonzalez-Colon
• Myrna Gonzalez-Davila
• Maria del Rosario Gonzalez-de-Rivas, M.D.
• Brenda Lizette Gonzalez-Flores, PSYD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.