Gold Star Medical LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

GOLD STAR MEDICAL LLC

Practice address

2 Ave Luis Munoz Marin
Hormigueros, PR 00660-1737

Phone

(787) 673-1238

NPI assigned

Sep 13, 2023

Organization subpart

No

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

Authorized official

Name

Shahid M Chaudhary, MD

Title

Medical Director

Phone

(787) 673-1238

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1831976877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AVE LUIS MUNOZ MARIN",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006601737",
            "telephone_number": "787-673-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AVE LUIS MUNOZ MARIN",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006601737",
            "telephone_number": "787-673-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-673-1238",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginecologos Asociados del Oeste PSC
• Gold Star Medical LLC
• Gold Star Medical LLC
• Gold Star Medical LLC
• Gold Star Medical LLC
• Ivette J Gonzalez Correa, MSW
• Ingrid Gonzalez, M.D
• Josue A Gonzalez, MSW
• Norman Osvaldo Gonzalez, D.C.
• Ashley Ann Gordils Quiles, M.D.

• Radiology Clinic/Center in Hormigueros, PR
• Providers in Hormigueros, PR by specialty
• Radiology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.