Individual provider Active NPI

Jose E Feijoo-Gonzalez, M.D.

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1770656993
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6139 Issued in PR
Practice address
Comercial Bella Vista Gardens
Edif 3 Local 12-a
Bayamon, PR 00957
Phone
(787) 799-2080
Fax
(787) 272-4209
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 6139 PR Primary

Addresses

Primary practice location

Comercial Bella Vista Gardens
Edif 3 Local 12-a
Bayamon, PR 00957

Mailing address

Alturas de Torrimar
11-21 Calle 9
Guaynabo, PR 00969-3213
Phone (787) 799-2080

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
I20120126000047 PR Practitioner - General Practice 5496922874 Practice locations: Bayamon, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1770656993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALTURAS DE TORRIMAR",
            "address_2": "11-21 CALLE 9",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693213",
            "telephone_number": "787-799-2080",
            "fax_number": "787-272-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMERCIAL BELLA VISTA GARDENS",
            "address_2": "EDIF 3 LOCAL 12-A",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-799-2080",
            "fax_number": "787-272-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIJOO-GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.