Individual provider Active NPI

Jorge Luis Gonzalez, M.D.

  • Cardiovascular Disease Physician
  • Caguas, PR
National Provider Identifier
1821172032
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11710 Issued in PR
Practice address
Consolidated Mall, Suite D33C
Ave. Gautier Benitez
Caguas, PR 00725
Phone
(787) 745-2510
Fax
(787) 745-2510
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 11710 PR Primary

Addresses

Primary practice location

Consolidated Mall, Suite D33C
Ave. Gautier Benitez
Caguas, PR 00725

Mailing address

PO Box 7196
Caguas, PR 00726-7196
Phone (787) 745-2510

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
I20080304000663 PR Practitioner - Cardiovascular Disease (Cardiology) 6305871906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University Central del Caribe Escuela de Medicina, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Calle Gautier Benitez
Suite C 33D
Caguas, PR 00725-5527
Phone (787) 745-2510

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Medicine Services PSC Cardiovascular Disease CurrentSince Oct 3, 1995 Accepting new patients
Test Care Diagnostics, Inc. Cardiovascular Disease Past Accepting new patients

Locations

201 Calle Gautier Benitez
Ste C33D
Caguas, PR 00725
Phone (787) 745-2510

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821172032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7196",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007267196",
            "telephone_number": "787-745-2510",
            "fax_number": "787-745-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MALL, SUITE D33C",
            "address_2": "AVE. GAUTIER BENITEZ",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-745-2510",
            "fax_number": "787-745-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "11710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.