Individual ProviderJean Carlos Alvarez GonzalezGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressCarr 931 Km 5.5 Bo Navarro Praderas Shopping Center, Gurabo, PR 00778(787) 743-1985(787) 629-1381PECOS EnrollmentBased on the most recent information from CMS, provider Jean Carlos Alvarez Gonzalez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1760159776Provider TypeIndividualFull NameAlvarez Gonzalez, Jean CarlosTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date8/26/2021Last Updated8/27/2021Contact InformationPractice LocationPractice AddressCarr 931 Km 5.5 Bo Navarro Praderas Shopping Center, Gurabo, PR 00778Phone(787) 743-1985Fax(787) 744-6276Mailing LocationMailing Address2 Calle Almonte Apt 508, San Juan, PR 00926-2413Phone(787) 629-1381FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense22524Puerto RicoCode363AM0700XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense1054PAPuerto RicoProvider IdentifiersIDDescriptionIssuerID1054PADescriptionOtherIssuerPHYSICIAN ASSITANT LICENCEPuerto RicoID22524DescriptionMedicaidIssuerUnlistedPuerto Rico