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LILIBET MIRANDA GONZALEZ MD
NPI 1003480658
Hospitalist in Hato Rey, PR

Active since May 18, 2021PECOS EnrolledAccepts Medicare Assignment
715 AVE PONCE DE LEON, HATO REY, PR 00917(787) 758-0000 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, May 18, 2021 (2 updates tracked since 2021).

About Lilibet Miranda Gonzalez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILIBET MIRANDA GONZALEZ MD (NPI 1003480658) is an individual hospitalist provider in Hato Rey, Puerto Rico, licensed in New York (339030) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains a secondary practice location in Utica.

NPPES Registry Identity

NPI1003480658
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameLILIBET MIRANDA GONZALEZCredential: MD
Location Address715 AVE PONCE DE LEONHato Rey, PR 00917-5032
Mailing Address1561 Kudza RdWest Palm Beach, FL 33415-5520 · (561) 385-4933
Phone(787) 758-0000
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 18, 2021
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1003480658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 339030
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Secondary Practice Location 1

Location 1111 Hospital DrUtica, NY 13502-2517 · Phone (315) 917-9966

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lilibet Miranda Gonzalez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183113012
PECOS Enrollment IDI20251030001817
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YASMIN V OJEDA RODRIGUEZ MD
General Practice
715 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (787) 758-2000
ANA CARIDAD RUIZ LOPEZ MD
Student in an Organized Health Care Education/Training Program
715 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (787) 758-2000
LEONARDO FABIO BASTARDO MD
General Practice
715 AVE PONCE DE LEON
HATO REY, PR 00917
San Juan Municipio (787) 758-2000
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
Pediatrics
715 AVE PONCE DE LEON, STOP 37.5
SAN JUAN, PR 00917
San Juan Municipio (787) 771-7934
LAURA A CRUZ LUGO
Pharmacist (Infectious Diseases)
715 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (787) 758-2000
FELIX LOPEZ
Pharmacy Technician
715 AVE PONCE DE LEON
HATO REY, PR 00917
San Juan Municipio (787) 758-2000
JESSICA R LEBRON MHSN, RD, LDN
Dietitian, Registered
715 AVE PONCE DE LEON
HATO REY, PR 00917
San Juan Municipio (787) 758-2000
GABRIEL ALI GUZMAN ROJAS MD
Student in an Organized Health Care Education/Training Program
715 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (787) 758-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lilibet Miranda Gonzalez's NPI number?

The NPI number for Lilibet Miranda Gonzalez is 1003480658. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Lilibet Miranda Gonzalez located?

Lilibet Miranda Gonzalez practices at 715 Ave Ponce De Leon, Hato Rey, PR 00917. The listed phone number is (787) 758-0000.

What is Lilibet Miranda Gonzalez's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Lilibet Miranda Gonzalez enrolled in Medicare?

Yes. Lilibet Miranda Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lilibet Miranda Gonzalez affiliated with any hospitals?

According to CMS data, Lilibet Miranda Gonzalez is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Lilibet Miranda Gonzalez was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.