Organization Active NPI

Dr Ivan F Gonzalez-Cancel, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Juan, PR
National Provider Identifier
1932709805
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
DR IVAN F GONZALEZ-CANCEL, LLC
Practice address
Puerto Rico Cardiovascular Center
1St Floor, Suite #2
San Juan, PR 00936
Phone
(787) 281-0451
Fax
(787) 281-0450
NPI assigned
Oct 29, 2020
Organization subpart
Yes
Parent organization
DR IVAN F GONZALEZ-CANCEL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Mr. Ivan F Gonzalez-Cancel, MD
Title
President
Phone
(787) 281-0451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

Puerto Rico Cardiovascular Center
1St Floor, Suite #2
San Juan, PR 00936

Mailing address

PO Box 70344
PMB 476
San Juan, PR 00936-8344
Phone (787) 281-0451

National Provider Directory

National Provider Directory
Part of
Dr Ivan F Gonzalez-Cancel LLC

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1932709805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70344",
            "address_2": "PMB 476",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-281-0451",
            "fax_number": "787-281-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUERTO RICO CARDIOVASCULAR CENTER",
            "address_2": "1ST FLOOR, SUITE #2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-281-0451",
            "fax_number": "787-281-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR IVAN F GONZALEZ-CANCEL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR IVAN F GONZALEZ-CANCEL, LLC",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-CANCEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-281-0451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.