Dr Eladio Roman Gonzalez, DMD is a medicare enrolled "Dentist - General Practice" provider in Altos, Puerto Rico. His current practice location is
Ave Jose De Diego, #323, Altos, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 878-1831.
Dr Eladio Roman Gonzalez is licensed to practice in Puerto Rico (license number 936) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730180811.
Healthcare Provider's Profile
| Full Name | Dr Eladio Roman Gonzalez |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | Ave Jose De Diego, Altos, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730180811
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 10/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 2769774835
- Enrollment ID: I20160711000888
Medical Identifiers
Medical identifiers for Dr Eladio Roman Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730180811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 936 (Puerto Rico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eladio Roman Gonzalez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Eladio Roman Gonzalez, DMD
Po Box 2017, Dr. Eladio Roman G.,
Arecibo, PR 00613-2017
Ph: (787) 878-1831 | Dr Eladio Roman Gonzalez, DMD
Ave Jose De Diego, #323,
Altos, PR 00613-2017
Ph: (787) 878-1831 |
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