Organization Active NPI

Caridad Gonzalez Garcia MD CSP

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1740681667
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18379 Issued in PR
Legal business name
CARIDAD GONZALEZ GARCIA MD CSP
Practice address
46 Calle Robles
Arecibo, PR 00612-9585
Phone
(787) 650-2888
Fax
(787) 650-2888
NPI assigned
Sep 10, 2014
Last updated
Sep 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. Caridad Gonzalez, MDNPI 1033489042
Title
Presidenta
Phone
(787) 650-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18379 PR Primary

Addresses

Primary practice location

46 Calle Robles
Arecibo, PR 00612-9585

Mailing address

46 Calle Robles
Arecibo, PR 00612-9585
Phone (787) 650-2888

Other identifiers 1

IdentifierTypeStateIssuer
FW338AOtherPRPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200520001929 PR Part B Supplier - Clinic/Group Practice 3476984790 Receives reassigned benefits from 2 practitioners
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1740681667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CALLE ROBLES",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129585",
            "telephone_number": "787-650-2888",
            "fax_number": "787-650-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CALLE ROBLES",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129585",
            "telephone_number": "787-650-2888",
            "fax_number": "787-650-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIDAD GONZALEZ GARCIA MD CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-650-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FW338A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.