MOLDAVIA O. TAVAREZ GONZALEZ MD
NPI 1457092405
General Practice in Aguas Buenas, PR
About Moldavia O. Tavarez Gonzalez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOLDAVIA O. TAVAREZ GONZALEZ MD (NPI 1457092405) is an individual general practice provider in Aguas Buenas, Puerto Rico, licensed in Puerto Rico (23264) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Hospital Menonita De Cayey, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Moldavia O. Tavarez 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.
Medicare Billing Reassignment
Medicare enrollment records show Moldavia Tavarez Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manati, PR 00674
- Reassigned Medicare billing, Puerto Rico enrollment
- Medicare enrollment name: Gemi Psc
- 25 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Menonita De Cayey
Acute Care Hospitals · Cayey, PROther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Moldavia Tavarez Gonzalez's NPI number?
The NPI number for Moldavia Tavarez Gonzalez is 1457092405. It was assigned to this individual provider in the NPPES registry on April 5, 2022.
Where is Moldavia Tavarez Gonzalez located?
Moldavia Tavarez Gonzalez practices at 5 Calle Albizu Campos, Aguas Buenas, PR 00703. The listed phone number is (787) 732-8595.
What is Moldavia Tavarez Gonzalez's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Moldavia Tavarez Gonzalez enrolled in Medicare?
Yes. Moldavia Tavarez 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.
Which organization bills Medicare for Moldavia Tavarez Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Moldavia Tavarez Gonzalez reassigns Medicare benefits to Gemipsc (Manati, 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 Moldavia Tavarez Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Moldavia Tavarez Gonzalez affiliated with any hospitals?
According to CMS data, Moldavia Tavarez Gonzalez is affiliated with Hospital Menonita De Cayey.
When was this NPI record last updated?
The NPPES record for Moldavia Tavarez Gonzalez was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Moldavia O. Tavarez Gonzalez, MD · NPI 1457092405
General Practice physician in Aguas Buenas, Puerto Rico. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1457092405 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 23264 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5 CALLE ALBIZU CAMPOS, Aguas Buenas, PR 00703-3102
- **Phone:** (787) 732-8595
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gemipsc (NPI 1831592781, Manati, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1457092405) · Data from the CMS NPPES public registry.