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Raphy Alexis Gonzalez

General Practice

Allopathic & Osteopathic Physicians

Carr #130 Km 5.4 Bo Naranjito Sector Lechuga, Hatillo, PR 00659-9415

PECOS Enrollment

This provider is enrolled in PECOS as RAPHY GONZALEZ.

Based on the most recent information from CMS, provider Raphy Alexis 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1972534501
Provider Type
Individual
Full Name
Gonzalez, Raphy Alexis
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/5/2006
Last Updated
5/14/2024

Contact Information

Practice Location

Carr #130 Km 5.4 Bo Naranjito Sector Lechuga, Hatillo, PR 00659-9415

(787) 820-3232

Mailing Location

PO Box 141322, Arecibo, PR 00614-1322

(787) 820-0553

(787) 820-3232

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 15225 Puerto Rico

Raphy Alexis Gonzalez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Foti, Nicola

Marrero Viera, Nancy

Benavides Martinez, Rhina Elizabeth

Soto Vargas, Raquel

Lopez Lopez, Ricardo

Olmeda Morales, Edwin

Perez Medina, Adrian

Talavera Valentin, Jaileen

Abukhalil Rashid, Nidal

Morell Colberg, Tatiana M