DR. ROBERTO GONZALEZ GONZALEZ (NPI# 1275591489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275591489 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO GONZALEZ GONZALEZ |
| Credential | M.D. |
| Practice Address |
Salud Ave. #1326 Suite 511 Ponce PR 00717-1689 |
| Mailing Address |
Po Box 7214 Ponce PR 00732-7214 |
| Practice Telephone | 7878445980 |
| Practice Fax Number | 7878445999 |
| Mailing Telephone | 7878445980 |
| Mailing Fax Number | 7878445999 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
6432 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
SALUD AVE. #1326 SUITE 511 |
| City | PONCE |
| State | PR |
| Zip Code | 00717-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202513 | Anthony Ramirez Sanchez | Counselor | Edf Porrata Pila Suite 208, 2431 Blvd Luis A Ferre, Ponce, PR 00717 | 2020-07-20 |
| 1255967444 | Marilia Padua Quiles | Psychologist | 1805 Paseo La Colonia Ste 2, Urb. Constancia Codech Office Park, Ponce, PR 00717 | 2020-03-19 |
| 1598399446 | Zadia Y Rodriguez | Dietitian, Registered | Urb. Constancia 2706, Ave. Las Americas, Ponce, PR 00717 | 2020-03-01 |
| 1154953412 | Centro Creando Camino De Vida LLC. | Occupational Therapy Assistant | Edificio Ponciana 9140 Calle Marina Oficina 507, Ponce, PR 00717 | 2020-02-05 |
| 1295375905 | For Eyes Optical of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | 2050 Ponce By Pass Ste 111, Ponce, PR 00717 | 2020-01-10 |
| 1316582216 | Krystina D Garay | Case Management | 8169 Cond San Vicente Calle Concordia, Suite 412, Ponce, PR 00717 | 2019-11-14 |
| 1982255097 | Javier Alejandro Carmona-morales | Pharmacist | Carr. #2 Ponce By Pass, San Jorge Mall, Ponce, PR 00717 | 2019-09-20 |
| 1043867492 | Hope Center LLC | Clinic/Center | Edificio Porrata Pila, 2431 Blvd Luis A Ferre Suite 208, Ponce, PR 00717 | 2019-08-21 |
| 1174185201 | Suhail Milagros Padilla | Physician Assistant | 7451 Calle Perpetuo Socorro, Urb Santa Maria, Ponce, PR 00717 | 2019-06-28 |
| 1255991493 | Jorge E Sanchez Rivera | Social Worker | 2680 Calle Las Carrozas, Urb Perla Del Sur, Ponce, PR 00717 | 2019-06-19 |
| Find all providers in zip 00717 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386717247 | Edgar E Domenech Fagundo | Otolaryngology | Torre Medica San Lucas, Ave. Tito Castro 917, Suite 618, Ponce, PR 00730 | 2006-11-16 |
| 1891104188 | Southwest Oto and Head & Neck Surgery,psc | Otolaryngology | Torre Med San Lucas, Ave. Tito Castro, Ponce, PR 00716-4728 | 2014-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568565547 | Recinto De Ciencias Medicas | Otolaryngology | Ave.americo Miranda Centro Medico De Pr Edif. Principal, Escuela De Medicina Aptdo.29134, San Juan, PR 00936-0134 | 2006-09-06 |
| 1902914807 | Benjamin Rodriguez Jr. | Otolaryngology | Manati Medical Plaza, Suite 205, Manati, PR 00674 | 2006-08-29 |
| 1508874876 | Jose I Almodovar - Laborde | Otolaryngology | Carr. 2 Km 174.0, San German Medical Plaza Suite 207, San German, PR 00683-9340 | 2006-08-03 |
| 1952300600 | Francisco R Suarez Lozada | Otolaryngology | 27 Calle Nelson Perea, Edificio Doctors Center Suite 102, Mayaguez, PR 00680-4949 | 2005-07-15 |
| 1740326677 | Grupo Otorrinolaringologico De Pr | Otolaryngology | Plaza Carolina Mall, Suite 11, Carolina, PR 00983 | 2007-01-29 |
| 1104987437 | Pablo M Lopez-baez | Otolaryngology | Santa Rosa Mall, 202a, Bayamon, PR 00959 | 2006-12-12 |
| 1952378341 | Jose R Sanchez-mendiola Sr. | Otolaryngology | Bayamon Medical Plaza, Suite 105, Bayamon, PR 00960 | 2006-03-03 |
| 1407820657 | Luis E Valledor Maeso Sr. | Otolaryngology | Bayamon Medical Plaza, Suite 105, Bayamon, PR 00960 | 2006-02-15 |
| 1003808171 | Jaime Luis Ortiz | Otolaryngology | Torre San Cristobal, 205 A, Coto Laurel, PR 00780 | 2005-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.