Individual provider Active NPI

Jorge A Roman Gonzalez, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1851811657
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19683 Issued in PR
Practice address
8169 Calle Concordia Suite 107
Condominio San Vicente
Ponce, PR 00717-1554
Phone
(787) 709-1544
NPI assigned
Jun 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 19683 PR Primary

Addresses

Primary practice location

8169 Calle Concordia Suite 107
Condominio San Vicente
Ponce, PR 00717-1554

Mailing address

Urb. Quintas de Monserrate
A-13 Calle Greco
Ponce, PR 00730
Phone (787) 709-1544

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
I20170914000645 PR Practitioner - General Practice 0547534547 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19683PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Damas Inc CurrentSince Jan 20, 2019 Accepting new patients
Southern Anesthesia Associates LLC Current Accepting new patients
Roman Medical Services LLC General Practice CurrentSince Nov 1, 2022 Accepting new patients

Locations

2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802

2165 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 709-1544

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

Organizations & group practices 3

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1851811657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. QUINTAS DE MONSERRATE",
            "address_2": "A-13 CALLE GRECO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-709-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA SUITE 107",
            "address_2": "CONDOMINIO SAN VICENTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171554",
            "telephone_number": "787-709-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN GONZALEZ",
        "first_name": "JORGE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.