Individual provider Active NPI

Luis Benjamin Gonzalez-Ingles, MD

  • Internal Medicine Physician
  • Bayamon, PR
National Provider Identifier
1962490219
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13308 Issued in PR
Practice address
J16 Calle 2 Villa Rica
Edificio Medico Hermanas Davila Suite 108
Bayamon, PR 00959
Phone
(787) 288-2255
Fax
(787) 288-2255
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13308 PR Primary

Addresses

Primary practice location

J16 Calle 2 Villa Rica
Edificio Medico Hermanas Davila Suite 108
Bayamon, PR 00959

Mailing address

D-5 St. 2 Vista Bella
Bayamon, PR 00956
Phone (787) 798-6043

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
I20040622001019 PR Practitioner - Internal Medicine 7911982145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Calle 2 J-16 108 Extension
Bayamon, PR 00959-5045
Phone (787) 288-2255

Edificio Med Hermanas Davila Cal 2 J-16
108 Extension Villa Rica
Bayamon, PR 00959-5045

Hospital & facility affiliations

  • Doctors Center Hospital Orlando Health Dorado Hospital, Dorado, PR, CCN 400137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13308PRMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Medicos Bethesda CSP Internal Medicine CurrentSince Apr 1, 2003 Accepting new patients
SHC Owner LLC Past Accepting new patients

Locations

J16 Calle 2
Ste 108
Bayamon, PR 00959
Phone (787) 288-2255

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1962490219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D-5 ST. 2 VISTA BELLA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-798-6043",
            "fax_number": "787-798-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J16 CALLE 2 VILLA RICA",
            "address_2": "EDIFICIO MEDICO HERMANAS DAVILA SUITE 108",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-288-2255",
            "fax_number": "787-288-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-INGLES",
        "first_name": "LUIS",
        "middle_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.