Pedro P Paez Gonzalez, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

8815 Issued in PR

Practice address

Ashford Medical Center #29 Calle Washington
Suite 401
San Juan, PUERTO RICO 00907 1503
UM

Phone

(787) 725-8534

NPI assigned

Aug 5, 2006

Last updated

Oct 21, 2008By the provider in NPPES

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

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dr. Pedro P. Paez Gonzalez P.C.S.

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1548533128
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Community Hospital, Inc

  dba Ashford Presbyterian Community Hospital

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1770580813
  Care Compare affiliation

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1992714133",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "P.O. BOX 190464",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "00919 0464",
            "telephone_number": "787-725-8534"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "ASHFORD MEDICAL CENTER #29 CALLE WASHINGTON",
            "address_2": "SUITE 401",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "00907 1503",
            "telephone_number": "787-725-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEZ GONZALEZ",
        "first_name": "PEDRO",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "8815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PUERTO RICO",
            "identifier": "88060",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.