Individual provider Active NPI

Gerardo Gonzalez Collado

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1790555845
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23642 Issued in PR
Practice address
Plaza del Carmen Mall #24
Caguas, PR 00725
Phone
(787) 286-6060
NPI assigned
Jan 8, 2024
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 23642 PR Primary

Addresses

Primary practice location

Plaza del Carmen Mall #24
Caguas, PR 00725

Mailing address

PO Box 1753
Mayaguez, PR 00681-1753
Phone (787) 286-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23642PRMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: gerardo.gonzalezcollazo@4048.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1790555845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1753",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811753",
            "telephone_number": "787-286-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DEL CARMEN MALL #24",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-286-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ COLLADO",
        "first_name": "GERARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.