Gert Harold Wandersleben Mihovilovic, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21376 Issued in PR

Practice address

Ipa 513 Calle Mayaguez
Hato Rey, PR 00919

Phone

(787) 764-8018

NPI assigned

Jun 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• G & G Medical Group LLC

  • Health Service Clinic/Center
  • Canovanas, PR
  • NPI 1023734373
  Medicare reassignment NPD
• Centro Medicina Familia Geriatria Dr. Luis Izquierdo Mora

  • Health Maintenance Organization
  • San Juan, PR
  • NPI 1255469003
  NPD (past)
• Centro Medicina Familia Y Geriatria Rio Piedras, Inc.

  • Health Maintenance Organization
  • San Juan, PR
  • NPI 1225166077
  NPD (past)
• Salud 2011, Inc.

  • Family Medicine Physician
  • San Juan, PR
  • NPI 1821392309

  General Practice

  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1962061879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450155",
            "telephone_number": "787-951-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IPA 513 CALLE MAYAGUEZ",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-764-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDERSLEBEN MIHOVILOVIC",
        "first_name": "GERT",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Velez Maldonado, MSW
• Jorge L Velez, MD
• Valerie M Villaman, RD, LDN
• Magda G Villegas
• Vir Associates PSC
• Adanette Wiscovitch, M.D.
• Mary Wolfe, O.D.
• Cesar P Zapater-Menguez, MD

• General Practice Physician in Hato Rey, PR
• Providers in Hato Rey, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.