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Ivette Gonzalez

General Practice

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as IVETTE GONZALEZ NIEVES.

Based on the most recent information from CMS, provider Ivette Gonzalez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215927298
Provider Type
Individual
Full Name
Gonzalez, Ivette
Title
Mrs.
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/21/2005
Last Updated
11/10/2025

Contact Information

Practice Location

Calle Post Sur #156, Mayaguez, PR 00680

(787) 831-2989

Unlisted Fax

Mailing Location

PO Box 6406, Mayaguez, PR 00681-6406

(787) 306-1512

(787) 652-4525

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 10287 Puerto Rico

Provider Identifiers

ID	Description	Issuer
ID 10287	Description Other	Issuer STATE LIC Puerto Rico

Ivette Gonzalez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Jaquez, Anirma Francisca

Toro, Betsy I

Quintana-Velazquez, Mabel

Lozada Mercado, Maria Victoria

Sanchez Lamboy, Keddie

Arroyo Pena, Efrain

Dros- Perez, Jacqueline

Jose Hernandez Vera-Medicina General,Csp

Valentin-Ramos, Jaime Luis

Resto Torres, Keila S