Individual provider Active NPI

Jose Felipe Gonzalez, MD

  • General Practice Physician
  • Trujillo Alto, PR
National Provider Identifier
1902429368
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23516 Issued in PR
Practice address
Urb Nuestra Senora de Lourdes B 24
Carr 848 KM 2 Saint Just
Trujillo Alto, PR 00976
Phone
(787) 377-9299
NPI assigned
May 20, 2020
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
General Practice Physician 208D00000X 23516 PR Primary

Addresses

Primary practice location

Urb Nuestra Senora de Lourdes B 24
Carr 848 KM 2 Saint Just
Trujillo Alto, PR 00976

Mailing address

137 Guayacan St.
Ciudad Jardin
Canovanas, PR 00729-9850
Phone (787) 533-7375

Other practice location 1

Calle Sergio Cuevas Bustamante
Hato Rey, PR 00927
Phone (787) 758-8383

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
I20231201003018 PR Practitioner - General Practice 9133577067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Urb Nuestra Senora de Lourdes
B24 Carr 848 Saint Just
Trujillo Alto, PR 00987
Phone (787) 755-5696

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
F.M.a. Preventive Medical Services Single Specialty CurrentSince Oct 1, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1902429368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 GUAYACAN ST.",
            "address_2": "CIUDAD JARDIN",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299850",
            "telephone_number": "787-533-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB NUESTRA SENORA DE LOURDES B 24",
            "address_2": "CARR 848 KM 2 SAINT JUST",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-377-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Sergio Cuevas Bustamante",
            "address_purpose": "LOCATION",
            "city": "Hato Rey",
            "state": "PR",
            "postal_code": "00927",
            "country_code": "US",
            "telephone_number": "787-758-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "FELIPE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.