Individual provider Active NPI

Pedro Luis Gonzalez Torres, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1770733479
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18991 Issued in PR
Practice address
63 Calle Aquamarina
Sendero de Montehiedra
San Juan, PR 00926-7067
Phone
(787) 298-5618
NPI assigned
Sep 30, 2008
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 18991 PR Primary

Addresses

Primary practice location

63 Calle Aquamarina
Sendero de Montehiedra
San Juan, PR 00926-7067

Mailing address

63 Aquamarina
Sendero de Montehiedra
San Juan, PR 00926
Phone (787) 298-5618

Other identifiers 1

IdentifierTypeStateIssuer
03504294MedicaidNY

Other names 1

  • Dr. Pedro Luis Gonzalez Torres 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
I20150424000592 PR Practitioner - Diagnostic Radiology 5698811610 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ponce School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
International Radiology Center and Medical Group, PSCGroup PAC ID 3971669094, 2 clinicians
Centro Radiodiagnostico de Carolina LLCGroup PAC ID 4587027792, 6 clinicians
Guaynabo Radiology, LLCGroup PAC ID 4082956784, 5 clinicians
Demadi PSCGroup PAC ID 9436348570, 7 clinicians
DJM Imaging Center LLCGroup PAC ID 7012197403, 6 clinicians

Practice addresses (Care Compare)

100 Carr 165 Torre 1
C107 Centro Internacional de Mercadeo
Guaynabo, PR 00968
Phone (787) 999-5400

10000 Ave 65 Infranteria
Carolina Shopping Court Oficina 023a
Carolina, PR 00985
Phone (787) 257-0677

8 Ave Las Cumbres
Guaynabo, PR 00969-4818
Phone (787) 740-8787

Arterial Hostos Esq 249 Ave Chardon
Primer Nivel Edif Hector N Acevedo
San Juan, PR 00918
Phone (787) 701-1180

Carretera 2 Int 167 Cond Gallardo Tow
Bayamon, PR 00961-6366
Phone (787) 785-8034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18991PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Varmed Health Center LLC CurrentSince Aug 3, 2025 Accepting new patients
Health Image Diagnostic PSC Diagnostic Radiology CurrentSince Jan 30, 2015 Accepting new patients
Demadi PSC Diagnostic Radiology CurrentSince Aug 7, 2018 Accepting new patients
Mennonite General Hospital Inc. CurrentSince May 1, 2018 Accepting new patients
Centro Radiodiagnostico de Carolina LLC Diagnostic Radiology CurrentSince Aug 29, 2023 Accepting new patients
Varmed Health Center LLC CurrentSince Aug 3, 2025 Accepting new patients
Hospital Menonita de Cayey Diagnostic Radiology CurrentSince May 1, 2018 Accepting new patients
Varmed Health Center LLC CurrentSince Aug 3, 2025 Accepting new patients
Varmed Health Center LLC Current Accepting new patients
DJM Imaging Center LLC Diagnostic Radiology CurrentSince Jul 29, 2018 Accepting new patients
De Jesus & Matos Medical Imaging Professionals, PSC Diagnostic Radiology CurrentSince Jul 29, 2018 Accepting new patients
CT Radiology Complex, LLC Diagnostic Radiology CurrentSince Mar 22, 2017 Accepting new patients
GRP Med CT Radiology Complex CurrentSince Mar 22, 2017 Accepting new patients
Guaynabo Radiology, LLC CurrentSince Aug 15, 2019 Accepting new patients
Cusa Radiology Group LLC Diagnostic Radiology CurrentSince Jan 26, 2025 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Apr 18, 2015 Accepting new patients
Hospital Menonita de Cayey CurrentSince May 1, 2018 Accepting new patients
International Radiology Center & Medical Group, PSC Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Apr 18, 2015 Accepting new patients
Mediko Imaging Inc. Diagnostic Radiology CurrentSince Mar 10, 2018 Accepting new patients
Mennonite General Hospital Inc CurrentSince May 1, 2018 Accepting new patients
Baylor College of Medicine Radiology Associates Diagnostic Radiology Past Accepting new patients

Locations

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

100 Carr 165
Ste C107
Guaynabo, PR 00968
Phone (787) 296-8880

8 Ave Las Cumbres
Guaynabo, PR 00969
Phone (787) 307-7674

509 Ave Tito Castro
Ponce, PR 00716
Phone (787) 840-5090

310 Ave Lomas Verdes
Ste 209
San Juan, PR 00927
Phone (787) 474-0820

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1770733479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 AQUAMARINA",
            "address_2": "SENDERO DE MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-298-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CALLE AQUAMARINA",
            "address_2": "SENDERO DE MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267067",
            "telephone_number": "787-298-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ TORRES",
        "first_name": "PEDRO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "18991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03504294",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEDRO",
            "last_name": "GONZALEZ TORRES",
            "middle_name": "LUIS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.