Luis Gonzalez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17,313 Issued in PR

Practice address

1540 Spring Valley Dr
Huntington, WV 25704-9300

Phone

(304) 429-6741

NPI assigned

Aug 28, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1730337155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SAN ISIDRO #O-1 URB. MARIOLGA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "939-218-5277",
            "fax_number": "787-744-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SPRING VALLEY DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049300",
            "telephone_number": "304-429-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17,313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGULAR LICENSE FROM PUERTO RICO BOARD OF MEDICAL EXAMINERS",
            "identifier": "17,313",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gonzales-Rowe
• Fabiola Gonzales, PHARMD
• Georgia Frye Gonzales, D.D.S.
• Ana Maria Gonzalez Cadavid, M.D.
• Christian Gonzalez, MD
• Michelle Gonzalez, M.D.
• Raegan Good
• Kellie K Gooding, M.D.
• Chelsey Michelle Goodman
• McKenna Baylee Goodman

• General Practice Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• General Practice Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.