Jerry Solis-Gonzalez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14714 Issued in PR

Practice address

Carretera 693 Num. 279
Bo. Brenas
Vega Alta, PR 00692

Phone

(939) 642-2227

Fax

(787) 270-6229

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

Yes

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

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

Specialty

General Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salud Integral En la Montana IncGroup PAC ID 8527972827, shared by 11 NPIs, 64 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Salud Integral En la Montana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Barranquitas, PR
  • NPI 1316970833
  Medicare reassignment
• Salud Integral En la Montana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Toa Alta, PR
  • NPI 1639372618
  Medicare reassignment
• Salud Integral En la Montana, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toa Alta, PR
  • NPI 1518419670
  NPD
• Salud Integral En la Montana, Inc

  • Radiology Clinic/Center
  • Barranquitas, PR
  • NPI 1801347505
  NPD
• Salud Integral En la Montana, Inc.

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD
• GMS Medical Group P S C

  • General Practice Physician
  • San Juan, PR
  • NPI 1639173354
  NPD (past)
• Lba Medical Services Inc

  • General Practice Physician
  • San Juan, PR
  • NPI 1144224874
  NPD (past)
• Prestige Medical Group Ljcpsc

  • Anesthesiology Physician
  • San Juan, PR
  • NPI 1437332624
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1861493561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1445",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009511445",
            "telephone_number": "787-531-9227",
            "fax_number": "787-883-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 693 NUM. 279",
            "address_2": "BO. BRENAS",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "939-642-2227",
            "fax_number": "787-270-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS-GONZALEZ",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wildaliz Silva
• Simple Medical Services of PR, Inc.
• Aml GR Smaili
• Antonio Soler, M.D.
• Gabriel Solis Diaz, MD
• Sonrisas Radiantes Dental Clinic(CSP)
• Juan G. Soto, M.D.
• Super Farmacia Santa Ana
• Evelyn Tellado, PHYSICIAN ASSISTANT
• Kareen T. Tirado, M.D.

• General Practice Physician in Vega Alta, PR
• Providers in Vega Alta, 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 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.