CARLOS RONALD PEDRAZA GONZALEZ MD
NPI 1164918223
General Practice in Aguadilla, PR

Active since July 02, 2018PECOS Enrolled
CARR 2 KM 141.1 AVE SEVERIANO CUEVAS, AGUADILLA, PR 00603(787) 658-0200 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2019, Jul 2, 2018 (2 updates tracked since 2018).

About Carlos Ronald Pedraza Gonzalez Md NPPES

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

CARLOS RONALD PEDRAZA GONZALEZ MD (NPI 1164918223) is an individual general practice provider in Aguadilla, Puerto Rico, licensed in Puerto Rico (21590) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164918223
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameCARLOS RONALD PEDRAZA GONZALEZCredential: MD
Location AddressCARR 2 KM 141.1 AVE SEVERIANO CUEVASAguadilla, PR 00603
Mailing AddressPo Box 2304Moca, PR 00676-2304 · (787) 415-3408
Sole ProprietorNo
Enumeration DateJuly 2, 2018
Last NPPES UpdateDecember 18, 20192 updates tracked since enumeration
✔ NPI 1164918223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 21590
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Ronald Pedraza Gonzalez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Carlos Pedraza Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
HIMA SAN PABLO CAGUAS, URB MARIOLGA #100 AVE LUIS MUNOZ MARIN
Caguas, PR 00725
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 428 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 Carlos Pedraza Gonzalez's NPI number?

The NPI number for Carlos Pedraza Gonzalez is 1164918223. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Where is Carlos Pedraza Gonzalez located?

Carlos Pedraza Gonzalez practices at Carr 2 Km 141.1 Ave Severiano Cuevas, Aguadilla, PR 00603. The listed phone number is (787) 658-0200.

What is Carlos Pedraza Gonzalez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Carlos Pedraza Gonzalez enrolled in Medicare?

Yes. Carlos Pedraza Gonzalez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Pedraza Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Pedraza Gonzalez reassigns Medicare benefits to Centro Medico Del Turabo Inc (Caguas, 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 Carlos Pedraza Gonzalez'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 Carlos Pedraza Gonzalez was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.