Gregori Rafael Troncoso Canela

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1589 Issued in PR

Practice address

505 Ave Hostos
San Juan, PR 00918-3201

Phone

(787) 488-0292

Fax

(939) 355-0129

NPI assigned

Nov 13, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1972327245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "Y25 CALLE VIOLETA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009854251",
            "telephone_number": "939-383-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 AVE HOSTOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183201",
            "telephone_number": "787-488-0292",
            "fax_number": "939-355-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRONCOSO CANELA",
        "first_name": "GREGORI",
        "middle_name": "RAFAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "PA1589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Troche Monserrate
• Michelle Troche Panetto, M.D.
• Paulette Michelle Troche Santana
• Lourdes Troche-Montes, MSPT
• Rodolfo Troche, MD
• Amanda C Trout, D.O.
• True Aid Home Care LLC
• True Self Foundation
• Natya Trujillo Santos, PH.D.
• Elizabeth Trullenque-Martinez, MD

• Medical Physician Assistant in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.