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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARDILY GONZALEZ D.M.D.
NPI 1497721310
Dentist - General Practice in San Juan, PR

Active since February 28, 2006PECOS Enrolled
255 CALLE ELEONOR ROOSEVELT, SAN JUAN, PR 00918(787) 763-9190(787) 763-9587 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mardily Gonzalez D.m.d. NPPES

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

DR. MARDILY GONZALEZ D.M.D. (NPI 1497721310) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (2658) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497721310
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARDILY GONZALEZCredential: D.M.D.
Location Address255 CALLE ELEONOR ROOSEVELTSan Juan, PR 00918-2806
Mailing AddressPo Box 195015San Juan, PR 00919-5015 · (787) 763-9190 · Fax (787) 763-9587
Phone(787) 763-9190
Fax(787) 763-9587
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1497721310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PR · 2658
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mardily Gonzalez D.m.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00918 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

MG DENTAL CARE P.S.C.
Dentist (General Practice)
255 CALLE ELEONOR ROOSEVELT
SAN JUAN, PR 00918
San Juan Municipio (787) 763-9190
DR. NORMA IRIS DE LEON-TELLADO D.M.D.
Dentist (General Practice)
255 CALLE ELEONOR ROOSEVELT
SAN JUAN, PR 00918
San Juan Municipio (787) 763-9190
MS. SAMANTHA ORDAZ MOGUEL DMD
Dentist (Prosthodontics)
255 CALLE ELEONOR ROOSEVELT
SAN JUAN, PR 00918
San Juan Municipio (787) 763-9190

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 Mardily Gonzalez's NPI number?

The NPI number for Mardily Gonzalez is 1497721310. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Mardily Gonzalez located?

Mardily Gonzalez practices at 255 Calle Eleonor Roosevelt, San Juan, PR 00918. The listed phone number is (787) 763-9190.

What is Mardily Gonzalez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mardily Gonzalez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mardily Gonzalez was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.