Individual provider Active NPI

Elissa Carrera Gonzalez, M.D.

  • Internal Medicine Physician
  • Caguas, PR
National Provider Identifier
1760872337
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21411 Issued in PR
Practice address
Hospital General Menonita de Caguas
Urb. Turabo Garden Carretera Estatal PR 172
Caguas, PR 00726-6660
Phone
(787) 653-0550
NPI assigned
Feb 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31574R PR
Student in an Organized Health Care Education/Training Program 390200000X 32,712R PR
Internal Medicine Physician 207R00000X 21411 PR Primary

Addresses

Primary practice location

Hospital General Menonita de Caguas
Urb. Turabo Garden Carretera Estatal PR 172
Caguas, PR 00726-6660

Mailing address

1 Calle 11 Apt 701
Cond Panorama Plaza
San Juan, PR 00926-3273
Phone (787) 607-0995

Other practice location 1

300 Ave Laurel # 100
Bayamon, PR 00956-3273
Phone (787) 787-5151

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
I20200218000889 PR Practitioner - Internal Medicine 2668809435 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Med PSCGroup PAC ID 5294138566, 11 clinicians

Practice addresses (Care Compare)

1519 Ave Ponce de Leon
Suite 302
San Juan, PR 00909-1708

Av Juan Ponce de Leon
Hato Rey Central
San Juan, PR 00919
Phone (787) 758-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21411PRMDInternal Medicine Physician
31574RPRMDInternal Medicine Physician
32,712RPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc Current Accepting new patients
Mennonite General Hospital Inc CurrentSince Feb 17, 2020 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Feb 17, 2020 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Nov 26, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Nov 26, 2019 Accepting new patients
Hope Med PSC Internal Medicine CurrentSince Aug 24, 2022 Accepting new patients
Hope Health PSC CurrentSince Jul 4, 2020 Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. Past Accepting new patients

Locations

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

1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1760872337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE 11 APT 701",
            "address_2": "COND PANORAMA PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263273",
            "telephone_number": "787-607-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL GENERAL MENONITA DE CAGUAS",
            "address_2": "URB. TURABO GARDEN CARRETERA ESTATAL PR 172",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266660",
            "telephone_number": "787-653-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Ave Laurel # 100",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009563273",
            "country_code": "US",
            "telephone_number": "787-787-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRERA GONZALEZ",
        "first_name": "ELISSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "31574R",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "32,712R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.