Individual provider Active NPI

Jose Raul Gonzalez-Inclan, M.D.

  • Surgery Physician
  • San Juan, PR
National Provider Identifier
1891794434
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5954 Issued in PR
Practice address
735 Ave Ponce de Leon
San Juan, PR 00917-5025
Phone
(787) 751-4197
Fax
(787) 764-1828
NPI assigned
Jul 16, 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
Surgery Physician 208600000X 5954 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
San Juan, PR 00917-5025

Mailing address

H6 Calle Bucare
Guaynabo, PR 00968-3116
Phone (787) 751-4197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5954PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Breast Care Center BBC 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": "1121472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891794434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H6 CALLE BUCARE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683116",
            "telephone_number": "787-751-4197",
            "fax_number": "787-764-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175025",
            "telephone_number": "787-751-4197",
            "fax_number": "787-764-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-INCLAN",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "5954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.