Individual provider Active NPI

Antonio Gonzalez Sotomayor, M.D.

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1811964869
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15531 Issued in PR
Practice address
Galerias Poncenas
Calle Union #83 Local #14
Ponce, PR 00730-4401
Phone
(787) 284-6261
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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 15531 PR Primary

Addresses

Primary practice location

Galerias Poncenas
Calle Union #83 Local #14
Ponce, PR 00730-4401

Mailing address

Galerias Poncenas
Calle Union #83 Local #14
Ponce, PR 00730-4401
Phone (787) 284-6261

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
I20050422000077 PR Practitioner - General Practice 8921046681 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15531PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medlaw LLC General Practice CurrentSince Apr 3, 2024 Accepting new patients
Home Medic Coordination General Practice Past Accepting new patients

Locations

83 Calle Union
#14
Ponce, PR 00730

83 Calle Union
Ponce, PR 00730
Phone (787) 284-6261

Organizations & group practices 2

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1811964869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GALERIAS PONCENAS",
            "address_2": "CALLE UNION #83 LOCAL #14",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304401",
            "telephone_number": "787-284-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GALERIAS PONCENAS",
            "address_2": "CALLE UNION #83 LOCAL #14",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304401",
            "telephone_number": "787-284-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ SOTOMAYOR",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.