DR. ADOLFO GONZALEZ SAC
NPI 1124047279
General Practice in Mayaguez, PR
About Dr. Adolfo Gonzalez Sac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADOLFO GONZALEZ SAC (NPI 1124047279) is an individual general practice provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (12955) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Adolfo Gonzalez Sac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Adolfo Gonzalez Sac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Juan, PR 00927
- Reassigned Medicare billing, Puerto Rico enrollment
- 87 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Adolfo Gonzalez Sac's NPI number?
The NPI number for Adolfo Gonzalez Sac is 1124047279. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Adolfo Gonzalez Sac located?
Adolfo Gonzalez Sac practices at 408 Calle Almirante, Mayaguez, PR 00682. The listed phone number is (787) 241-6256.
What is Adolfo Gonzalez Sac's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Adolfo Gonzalez Sac enrolled in Medicare?
Yes. Adolfo Gonzalez Sac is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Adolfo Gonzalez Sac's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adolfo Gonzalez Sac reassigns Medicare benefits to Centro De Cancer De La Universidad (San Juan, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adolfo Gonzalez Sac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Adolfo Gonzalez Sac was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Dr. Adolfo Gonzalez Sac · NPI 1124047279
General Practice physician in Mayaguez, Puerto Rico. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1124047279 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 12955 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 408 CALLE ALMIRANTE, Mayaguez, PR 00682-6242
- **Phone:** (787) 241-6256
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Centro De Cancer De La Universidad (NPI 1215418751, San Juan, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2013
- **Other identifiers:** Medicare UPIN H67161 (PR); Other 0090248 (PR)
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Source: [NPI Profile](https://npiprofile.com/npi/1124047279) · Data from the CMS NPPES public registry.