Individual provider Active NPI

Henry Gonzalez-Rivera, M.D.

  • Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1770586265
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12278 Issued in PR
Practice address
200 Ave W Churchill
Ste 201
San Juan, PR 00926-6652
Phone
(787) 765-1041
Fax
(787) 765-6197
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 12278 PR Primary

Addresses

Primary practice location

200 Ave W Churchill
Ste 201
San Juan, PR 00926-6652

Mailing address

130 Ave Winston Churchill
Suite 1 PMB 335
San Juan, PR 00926-6065
Phone (787) 765-1041

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
I20080418000359 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 1850479635 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Suite 408 Carr
21 Torre Hospital Metropolitano
San Juan, PR 00921
Phone (787) 455-9389

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy366
Upper gastrointestinal (GI) endoscopy for acid reflux413

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Gastroenterology Past Accepting new patients

Organizations & group practices 1

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1770586265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AVE WINSTON CHURCHILL",
            "address_2": "SUITE 1 PMB 335",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266065",
            "telephone_number": "787-765-1041",
            "fax_number": "787-765-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE W CHURCHILL",
            "address_2": "STE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266652",
            "telephone_number": "787-765-1041",
            "fax_number": "787-765-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-RIVERA",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "12278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.