MOLDAVIA O. TAVAREZ GONZALEZ MD
NPI 1457092405
General Practice in Aguas Buenas, PR

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
5 CALLE ALBIZU CAMPOS, AGUAS BUENAS, PR 00703(787) 732-8595 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2023, Jun 12, 2023, Apr 5, 2022 (3 updates tracked since 2022).

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

NPI1457092405
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMOLDAVIA O. TAVAREZ GONZALEZCredential: MD
Location Address5 CALLE ALBIZU CAMPOSAguas Buenas, PR 00703-3102
Mailing AddressPo Box 243Aguas Buenas, PR 00703-0243 · (787) 422-8491
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
NPI 1457092405 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 · 23264
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, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7113389867
PECOS Enrollment IDI20230828000087
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.

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, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400013
LocationBo. Rincon Sector Las Lomas Km.3.1 Carr 14Cayey, PR 00737 · Cayey County
Emergency services

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
5 CALLE ALBIZU CAMPOS
AGUAS BUENAS, PR 00703
General Practice
5 CALLE ALBIZU CAMPOS
AGUAS BUENAS, PR 00703

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.

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.