Individual provider Active NPI

Juan L Caparros Gonzalez, M.D.

  • General Practice Physician
  • Winter Haven, FL
National Provider Identifier
1801991054
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN971 Issued in FL
Practice address
1760 Havendale Blvd NW
Winter Haven, FL 33881-1224
Phone
(863) 662-3007
Fax
(863) 875-4681
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10777 PR
General Practice Physician 208D00000X ACN971 FL Primary

Addresses

Primary practice location

1760 Havendale Blvd NW
Winter Haven, FL 33881-1224

Mailing address

5245 US Highway 98 N
Lakeland, FL 33809-0516
Phone (863) 606-1616

Other practice location 1

2 Calle San Miguel
Utuado, PR 00641-2932
Phone (939) 238-6554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070910000062 PR Practitioner - General Practice 3476646365 Reassigns benefits to 1 organization
I20180323000183 FL Practitioner - General Practice 3476646365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
International American University at Puerto Rico - School of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1760 Havendale Blvd NW
Winter Haven, FL 33881-1224
Phone (863) 662-3007

2 Ave San Miguel
Utuado, PR 00641-2918
Phone (787) 894-2288

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN971FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Internal Medicine Care, PA General Practice CurrentSince Jan 1, 2018 Accepting new patients
Centro de Salud Familiar San Miguel Arcangel Inc General Practice CurrentSince May 15, 2019 Accepting new patients
Health Medical Ultra Limited Liability Company General Practice CurrentSince May 1, 2020 Accepting new patients
Health Medical Ultra Limited Liability Company General Practice Current Accepting new patients
Centro Diagnostico Y Tratamiento Dr Caparros Inc Past Accepting new patients
Centro Diagnostico Y Tratamiento Dr Caparros Inc. General Practice Past Accepting new patients

Locations

5425 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-3585

5245 US Highway 98 N
Lakeland, FL 33809
Phone (863) 606-1616

2402 Lake Dr NW
Winter Haven, FL 33881
Phone (863) 965-2999

1760 Havendale Blvd NW
Winter Haven, FL 33881
Phone (863) 662-3007

2 Ave San Miguel
Utuado, PR 00641
Phone (787) 894-2288

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJCECD/Endpoint/DJCECD

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1801991054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338090516",
            "telephone_number": "863-606-1616",
            "fax_number": "863-606-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 HAVENDALE BLVD NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811224",
            "telephone_number": "863-662-3007",
            "fax_number": "863-875-4681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Calle San Miguel",
            "address_purpose": "LOCATION",
            "city": "Utuado",
            "state": "PR",
            "postal_code": "006412932",
            "country_code": "US",
            "telephone_number": "939-238-6554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPARROS GONZALEZ",
        "first_name": "JUAN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10777",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.