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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: July 26, 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
Phone(787) 658-0200
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

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Medicare Participation & PECOS CMS

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

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.

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.

When was this NPI record last updated?

The NPPES record for Carlos Pedraza Gonzalez was last updated on December 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.