Individual provider Active NPI

Wilfred Gomez Saldana, MD

  • Adult Medicine Physician
  • Canovanas, PR
National Provider Identifier
1881607026
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
13723 Issued in PR
Practice address
Road. 185 KM 5.0
Bo Campo Rico
Canovanas, PR 00729
Phone
(787) 256-4099
Fax
(787) 256-4099
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 13723 PR
Adult Medicine Physician 207QA0505X 13723 PR Primary

Addresses

Primary practice location

Road. 185 KM 5.0
Bo Campo Rico
Canovanas, PR 00729

Mailing address

15017 Vereda Verde
Canovanas, PR 00729-9622
Phone (787) 256-4099

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
I20040626000169 PR Practitioner - Family Practice 1355327750 Practice locations: Canovanas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13723PRMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Em Physicians of Puerto Rico PSC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1881607026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15017 VEREDA VERDE",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299622",
            "telephone_number": "787-256-4099",
            "fax_number": "787-256-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD. 185 KM 5.0",
            "address_2": "BO CAMPO RICO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-256-4099",
            "fax_number": "787-256-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ SALDANA",
        "first_name": "WILFRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "PR",
            "license": "13723",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PR",
            "license": "13723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.