Individual provider Active NPI

Ivan Jose Llado Gonzalez, MD

  • Cardiovascular Disease Physician
  • Bayamon, PR
National Provider Identifier
1801816491
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6495 Issued in PR
Practice address
Calle Santa Cruz # 66
Instituto San Pablo Ste.#202
Bayamon, PR 00659
Phone
(787) 798-6550
Fax
(787) 798-6590
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6495 PR Primary

Addresses

Primary practice location

Calle Santa Cruz # 66
Instituto San Pablo Ste.#202
Bayamon, PR 00659

Mailing address

PO Box 6480
Bayamon, PR 00960-5480
Phone (787) 798-6550

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
I20071203000052 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769579317 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

51 Calle Santa Cruz
Suite 203 Urb Santa Cruz
Bayamon, PR 00961-6931
Phone (787) 798-6550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6495PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardionuc Cardiovascular Disease 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1801816491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6480",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605480",
            "telephone_number": "787-798-6550",
            "fax_number": "787-798-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA CRUZ # 66",
            "address_2": "INSTITUTO SAN PABLO STE.#202",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-798-6550",
            "fax_number": "787-798-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLADO GONZALEZ",
        "first_name": "IVAN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "6495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.