Active NPI
Gustavo J Gonzalez Astacio, MD
- Pulmonary Disease Physician
- Caguas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 271918
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180917001492 | PR | Practitioner - Pulmonary Disease | 4284862087 | Practice locations: Caguas, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 271918 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gga P.S.C. | Multi-Specialty | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Caguas, PR
- NPI 1003185455
-
- General Acute Care Hospital
- Caguas, PR
- NPI 1467234039
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.