Elba Rosa Gonzalez Bauza, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5254 Issued in PR

Practice address

Miramar KM 78.7 Carreters Ertalal # 2
Corp del Fondo del Seguro del Estado Avenida
Arecibo, PR 00614-4055

Phone

(787) 878-5757

Fax

(787) 817-3757

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821291212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-896-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIRAMAR KM 78.7 CARRETERS ERTALAL # 2",
            "address_2": "CORP DEL FONDO DEL SEGURO DEL ESTADO AVENIDA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006144055",
            "telephone_number": "787-878-5757",
            "fax_number": "787-817-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUZA",
        "first_name": "ELBA ROSA",
        "middle_name": "GONZALEZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.