Individual ProviderRonald GonzalezGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address114 Calle La Candelaria, Mayaguez, PR 00680(727) 488-8400PECOS EnrollmentBased on the most recent information from CMS, provider Ronald Gonzalez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1326502543Provider TypeIndividualFull NameGonzalez, RonaldCredentialMDGenderMaleSole ProprietorNoEnumeration Date1/23/2019Last Updated1/23/2019Contact InformationPractice LocationPractice Address114 Calle La Candelaria, Mayaguez, PR 00680Phone(727) 488-8400FaxUnlisted FaxMailing LocationMailing Address6426 Tailfeather Way, Bradenton, FL 34203-7109Phone(727) 488-8400FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense21199Puerto Rico