Individual provider Active NPI

Raphy Alexis Gonzalez, MD

  • General Practice Physician
  • Hatillo, PR
National Provider Identifier
1972534501
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15225 Issued in PR
Practice address
Carr #130 KM 5.4 Bo Naranjito Sector Lechuga
Hatillo, PR 00659-9415
Phone
(787) 820-3232
Fax
(787) 820-3232
NPI assigned
Jul 5, 2006
Last updated
May 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15225 PR Primary

Addresses

Primary practice location

Carr #130 KM 5.4 Bo Naranjito Sector Lechuga
Hatillo, PR 00659-9415

Mailing address

PO Box 141322
Arecibo, PR 00614-1322
Phone (787) 820-0553

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
I20050715000904 PR Practitioner - General Practice 0547296956 Reassigns benefits to 2 organizations
Practice locations: Hatillo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Carr 130 KM 5
Hatillo, PR 00659
Phone (787) 820-3232

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pavia Healthcare Centers Inc CurrentSince Feb 14, 2019 Accepting new patients
Integrate Community Health System CurrentSince Dec 3, 2017 Accepting new patients
Integrate Community Health System Current Accepting new patients
Metro Pavia Healthcare Centers Inc Current Accepting new patients
Integrate Community Health System, Inc. CurrentSince Dec 3, 2017 Accepting new patients
Metro Pavia Healthcare Center CurrentSince Feb 14, 2019 Accepting new patients
Policlinica de Familia Factor Inc Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1972534501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141322",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141322",
            "telephone_number": "787-820-0553",
            "fax_number": "787-820-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #130 KM 5.4 BO NARANJITO SECTOR LECHUGA",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006599415",
            "telephone_number": "787-820-3232",
            "fax_number": "787-820-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RAPHY",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

Verify at the official NPI Registry.