Alfredo Gonzalez Gomez, MD
General Practice in Aguas Buenas, PR. Individual provider (NPI-1).
NPI number1104856103
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104856103
- Entity type
- Individual (NPI-1)
- Name
- Alfredo Gonzalez Gomez
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 4, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 6692 | PR | Yes |
Practice location
5 Calle Albizu CamposAguas Buenas, PR 00703-3102
Phone 787-732-8595
Mailing address
Po Box 777Aguas Buenas, PR 00703-0777
Phone 787-732-4123
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All 18 General Practice Physician providers in Aguas Buenas · All 141 providers in Aguas Buenas
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