Victoria Goyenechea, MD
Individual provider Active NPI Family Medicine Physician · Rincon, PR
NPI 1902488075 · NPPES record last updated Aug 25, 2021
Key facts
- NPI
- 1902488075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22487 (PR)
- Practice address
- 39 Calle Munoz Rivera W
Rincon, PR 00677-2125 - Phone
- (916) 365-7699
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210915000332 | PR | Practitioner - Family Practice | 1759787898 | Practice locations: Mayaguez, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35230-R | PR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VG Medical Practice PSC | Single Specialty | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22487 | PR | Yes |
| Family Medicine Physician |
207Q00000X | 35230-R | PR |
Addresses
Primary practice location
39 Calle Munoz Rivera W
Rincon, PR 00677-2125
Mailing address
PO Box 143
Mayaguez, PR 00681-0143
Phone (916) 365-7699
Other providers in Rincon, PR
- Coralys Del Mar Gonzalez Torres
- Abnier Gonzalez
- Coralis Naomi Gonzalez
- Gerardo A Gonzalez
- Lissy I Gonzalez
- Lydia E Guerra I
- Roberto Gutierrez-Morales
- HCJ Corporation
- Luis A Hernandez
- HJ Asociados
All providers in Rincon, PR · Family Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.