Individual provider Active NPI

Edgardo Luis Gonzalez, MD

  • Legal Medicine
  • San Juan, PR
National Provider Identifier
1871584490
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
15965 Issued in PR
Practice address
S7-12 Calle 6
Urb Parana
San Juan, PR 00926-6129
Phone
(787) 579-6425
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 15965 PR Primary

Addresses

Primary practice location

S7-12 Calle 6
Urb Parana
San Juan, PR 00926-6129

Mailing address

S7-12 Calle 6
Urb Parana
San Juan, PR 00926-6129
Phone (787) 579-6425

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
I20051229000293 PR Practitioner - General Practice 5991727307 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

212 Calle Las Marias
San Juan, PR 00927-4213
Phone (787) 250-6425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15965PRMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Hospital Guaynabo Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: egonzalezmartinez@2621.securemail.prognocis.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871584490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S7-12 CALLE 6",
            "address_2": "URB PARANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266129",
            "telephone_number": "787-579-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S7-12 CALLE 6",
            "address_2": "URB PARANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266129",
            "telephone_number": "787-579-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EDGARDO",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PR",
            "license": "15965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.