GLG Preventive Medicine Center PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GLG PREVENTIVE MEDICINE CENTER PSC

Practice address

Carr 2 KM 171.5 Marginal
San German, PR 00683

Phone

(787) 264-2124

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. German L Gonzalez GonzalezNPI 1679666739

Title

President

Phone

(787) 264-2124

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• German Luis Gonzalez Gonzalez, M.D.

  • Public Health & General Preventive Medicine Physician
  • San German, PR
  • NPI 1679666739

  General Practice

  Medicare reassignment NPD Authorized official
• Maitessu Adilen Rivera Nin, MD

  • General Practice Physician
  • Mayaguez, PR
  • NPI 1124749510
  Medicare reassignment NPD

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1740945849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 171.5 MARGINAL",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-264-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLG PREVENTIVE MEDICINE CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ GONZALEZ",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-264-2124",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Galloza Otero, M.D.
• Kasandra Garcia Alvarez, LCDA
• Yussel C Garcia-Amador, M.D.
• Libet Yanira Garcia
• Victoria M Gill, MD
• GLG Preventive Medicine Center,PSC
• Albaixa Gonzalez Batiz, MD
• Javier Gonzalez Buonomo, MD
• German Luis Gonzalez Gonzalez, M.D.
• Maria E. Gonzalez Marques

• General Practice Physician in San German, PR
• Providers in San German, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.