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MYRIAM YAHAIRA GONZALEZ
NPI 1194493874
General Practice in Humacao, PR

Active since August 30, 2021PECOS Enrolled
FAIRWAY COURTS, HUMACAO, PR 00791(787) 433-3911 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Myriam Yahaira Gonzalez NPPES

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

MYRIAM YAHAIRA GONZALEZ (NPI 1194493874) is an individual general practice provider in Humacao, Puerto Rico, licensed in Puerto Rico (22486) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194493874
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMYRIAM YAHAIRA GONZALEZ
Location AddressFAIRWAY COURTSHumacao, PR 00791
Mailing AddressPo Box 2074Guayama, PR 00785-2074 · (787) 433-3911
Phone(787) 433-3911
Sole ProprietorYes
Enumeration DateAugust 30, 2021
Last NPPES UpdateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
✔ NPI 1194493874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 22486
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

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myriam Yahaira Gonzalez 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 Myriam Gonzalez's NPI number?

The NPI number for Myriam Gonzalez is 1194493874. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Myriam Gonzalez located?

Myriam Gonzalez practices at Fairway Courts, Humacao, PR 00791. The listed phone number is (787) 433-3911.

What is Myriam Gonzalez's specialty?

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

Is Myriam Gonzalez enrolled in Medicare?

Yes. Myriam Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Myriam Gonzalez was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.