Individual provider Active NPI

Gustavo J Gonzalez Astacio, MD

  • Pulmonary Disease Physician
  • Caguas, PR
National Provider Identifier
1922388982
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
271918 Issued in NY
Practice address
40 Cond Caguas Tower Apt 1103
Caguas, PR 00725-5634
Phone
(787) 308-2905
NPI assigned
Aug 23, 2011
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 18759 PR
Pulmonary Disease Physician 207RP1001X 271918 NY Primary

Addresses

Primary practice location

40 Cond Caguas Tower Apt 1103
Caguas, PR 00725-5634

Mailing address

40 Cond Caguas Tower Apt 1103
Caguas, PR 00725-5634
Phone (787) 308-2905

Other practice location 1

102-01 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4352

Other practice location 2

100 Ave Munoz Marin, HIMA Plaza 1
Suite 408
Caguas, PR 00725
Phone (787) 961-4696

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
I20180917001492 PR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4284862087 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Torre Medica Hima San Pablo
Suite 408 Calle Mariolga
Caguas, PR 00726
Phone (787) 961-4696

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271918NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gga P.S.C. Multi-Specialty Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gustavo.gonzalezastacio.p1@direct.vitacare.nextgenshare.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1922388982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 COND CAGUAS TOWER APT 1103",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255634",
            "telephone_number": "787-308-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 COND CAGUAS TOWER APT 1103",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255634",
            "telephone_number": "787-308-2905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102-01 66th Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "11375",
            "country_code": "US",
            "telephone_number": "718-830-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Ave Munoz Marin, HIMA Plaza 1",
            "address_2": "Suite 408",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-961-4696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ ASTACIO",
        "first_name": "GUSTAVO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "18759",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "271918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.