Luis Edgardo Gonzalez, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

15,562 Issued in PR

Practice address

VA Medical Center
10 Calle Casia
San Juan, PR 00921-3201

Phone

(787) 641-7582

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Physical Medicine and Rehabilitation

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors' Center Hospital San Juan Hospital, Santurce, PR, CCN 400006
• Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019
• Professional Hospital Guaynabo Inc Hospital, Guaynabo, PR, CCN 400122

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Luis E. Gonzalez-Martinez/Fisiatra P.S.C

  • Physical Medicine & Rehabilitation Physician
  • Trujillo Alto, PR
  • NPI 1588082804
  NPD (past) Authorized official
• Medicos Especializados de San Juan

  • Interventional Pain Medicine Physician
  • San Juan, PR
  • NPI 1548574635
  NPD (past)

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

• Doctors Center Hospital San Juan

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Juan, PR
  • NPI 1205539558

  Hospital

  Care Compare affiliation
• Doctors Center Hospital San Juan

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1699748236
  Care Compare affiliation
• Metro Santurce, Inc.

  dba Hospital Pavia Santurce

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865
  Care Compare affiliation
• Professional Hospital Guaynabo Inc

  • General Acute Care Hospital
  • Guaynabo, PR
  • NPI 1922254952
  Care Compare affiliation

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881766285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. ANDREA'S COURT",
            "address_2": "370 CALLE 10 APT. 3",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-475-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA MEDICAL CENTER",
            "address_2": "10 CALLE CASIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213201",
            "telephone_number": "787-641-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LUIS",
        "middle_name": "EDGARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "15,562",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "238,357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Isabel Gonzalez, PH.D.
• Karina Marie Gonzalez
• Leslie Ann Gonzalez
• Lesly Gonzalez, GCCHC, NBHWC
• Lorenzo Gonzalez, M.D.
• Luz Aristud Gonzalez
• Madeline Gonzalez
• Manuel A Gonzalez, DMD
• Marcos Antonio Gonzalez Sr.
• Mardily Gonzalez, D.M.D.

• Physical Medicine & Rehabilitation Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Physical Medicine & Rehabilitation Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.