Mr Mario David Gonzalez, PT is a medicare enrolled "Physical Therapist" provider in Dorado, Puerto Rico. He went to University Of Puerto Rico School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Cardio Nerve Diagnostic Express Inc and his current practice location is
155 Zorsal Street, Urb. Los Montes, Dorado, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 630-8227.
Mr Mario David Gonzalez is licensed to practice in Puerto Rico (license number 1121) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467689497.
Healthcare Provider's Profile
| Full Name | Mr Mario David Gonzalez |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 27 Years |
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| Location | 155 Zorsal Street, Dorado, Puerto Rico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Mario David Gonzalez attended and graduated from University Of Puerto Rico School Of Medicine in 1997
NPI Data:
- NPI Number: 1467689497
- Provider Enumeration Date: 06/17/2009
- Last Update Date: 04/14/2010
Medicare PECOS Information:
- PECOS PAC ID: 5890981385
- Enrollment ID: I20150415002073
Medical Identifiers
Medical identifiers for Mr Mario David Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467689497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1121 (Puerto Rico) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cardio Nerve Diagnostic Express Inc | 8729121892 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Mario David Gonzalez allows following entities to bill medicare on his behalf.
| Provider Name | Cardio Nerve Diagnostic Express Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326056060
PECOS PAC ID: 8729121892
Enrollment ID: O20120924000540 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mario David Gonzalez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Mario David Gonzalez, PT
Urb. Los Montes, 155 Zorsal Street,
Dorado, PR 00646
Ph: (787) 630-8227 | Mr Mario David Gonzalez, PT
155 Zorsal Street, Urb. Los Montes,
Dorado, PR 00646
Ph: (787) 630-8227 |
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