Individual provider Active NPI

Miguel F. Agrait Gonzalez, M.D.

  • Emergency Medicine Physician
  • Bayamon, PR
National Provider Identifier
1891059747
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
19042 Issued in PR
Practice address
Bayamon Medical Center Emergency Department
PR #2, KM 11.7
Bayamon, PR 00959
Phone
(787) 620-8181
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19042 PR Primary
Sports Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PS0010X 19042 PR

Addresses

Primary practice location

Bayamon Medical Center Emergency Department
PR #2, KM 11.7
Bayamon, PR 00959

Mailing address

1511 Ave Ponce de Leon Ste 3
San Juan, PR 00909-5001
Phone (787) 314-4246

Other identifiers 1

IdentifierTypeStateIssuer
5597070300MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC, PR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150821013931 NC Practitioner - Emergency Medicine 5597070300 Reassigns benefits to 3 organizations
I20160919002019 DC Practitioner - Emergency Medicine 5597070300 Reassigns benefits to 1 organization
I20210105002114 PR Practitioner - Emergency MedicinePractitioner - Sports Medicine 5597070300 Practice locations: Juncos, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Multi-Specialty CurrentSince Aug 26, 2016 Accepting new patients
Gastonia Physician Services, PLLC Multi-Specialty CurrentSince Jun 7, 2015 Accepting new patients
Western Carolina Emergency Physicians, PLLC Multi-Specialty CurrentSince Jul 1, 2015 Accepting new patients
Gastonia Physician Services, PLLC Multi-Specialty CurrentSince Jun 7, 2015 Accepting new patients
The Carolinas Emergency Group, PLLC Multi-Specialty CurrentSince Jul 1, 2015 Accepting new patients
Emergency Medicine Associates P.a., P.C. Multi-Specialty CurrentSince Aug 26, 2016 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

20010 Century Blvd
Ste 200
Germantown, MD 20874

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: magraitgonzalez309936@direct.hopkinsmedicine.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1891059747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 AVE PONCE DE LEON STE 3",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009095001",
            "telephone_number": "787-314-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL CENTER EMERGENCY DEPARTMENT",
            "address_2": "PR #2, KM 11.7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-620-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAIT GONZALEZ",
        "first_name": "MIGUEL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "19042",
            "primary": true
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "PR",
            "license": "19042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5597070300",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.