Individual provider Active NPI

Javier Gonzalez, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Guaynabo, PR
National Provider Identifier
1750512604
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
19036 Issued in PR
Practice address
Villa Caparra
60 Calle 8
Guaynabo, PR 00966
Phone
(787) 717-8911
NPI assigned
Jul 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD165384 OR
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 19036 PR
Special Hospital 284300000X 12380 PR
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 19036 PR Primary

Addresses

Primary practice location

Villa Caparra
60 Calle 8
Guaynabo, PR 00966

Mailing address

1353 Ave Luis Vigoreaux
PMB 841
Guaynabo, PR 00966
Phone (787) 717-8911

Other names 1

  • Javier Gonzalez-Castro Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160307001049 PR Practitioner - Plastic and Reconstructive Surgery 4981827680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Puerto Rico School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1353 Ave Luis Vigoreaux PMB
Suite 841
Guaynabo, PR 00986

Villa Caparra 60 Calle
Suite 8
Guaynabo, PR 00986
Phone (787) 717-8911

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD165384ORMDOtolaryngology Physician
19036PRMDOtolaryngology/Facial Plastic Surgery Physician
12380PRMDSpecial Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Facial Plastic Surgery Center, PSC CurrentSince Sep 1, 2023 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jan 23, 2016 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jan 23, 2016 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

60 Calle 8
Guaynabo, PR 00966
Phone (787) 717-8911

1353 Ave Luis Vigoreaux
Guaynabo, PR 00966

Interoperability endpoints

  • Direct secure messaging: javier_gonzalez_castro@yourcarecommunity.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1750512604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 AVE LUIS VIGOREAUX",
            "address_2": "PMB 841",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-717-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA CAPARRA",
            "address_2": "60 CALLE 8",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-717-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD165384",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "PR",
            "license": "19036",
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "PR",
            "license": "12380",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "PR",
            "license": "19036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVIER",
            "last_name": "GONZALEZ-CASTRO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.