Individual ProviderIsmael Gonzalez ArceGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address137 Calle B, Bo Carrizales, Hatillo, PR 00659-1646(787) 898-4590(787) 383-9775PECOS EnrollmentBased on the most recent information from CMS, provider Ismael Gonzalez Arce 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 yesterday at 12:57 PM.Profile DetailsProvider ID1477529592Provider TypeIndividualFull NameGonzalez Arce, IsmaelTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date2/28/2006Last Updated10/2/2012Contact InformationPractice LocationPractice Address137 Calle B, Bo Carrizales, Hatillo, PR 00659-1646Phone(787) 898-4590Fax(787) 898-4590Mailing LocationMailing AddressHc 01 Box 7900, Hatillo, PR 00659-9706Phone(787) 383-9775Fax(787) 898-4590Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense9688Puerto RicoProvider IdentifiersIDDescriptionIssuerID10903DescriptionOtherIssuerSES HORARIO EXTIDP865DescriptionOtherIssuerFIRST MEDICALID100158DescriptionOtherIssuerMMMIDM9665DescriptionOtherIssuerCRUZ ACULID2866DescriptionOtherIssuerPREFERREDID6590038DescriptionOtherIssuerHUMANA