Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moldavia O. Tavarez Gonzalez, MD

Individual provider General Practice Physician · NPI 1457092405

Moldavia O. Tavarez Gonzalez, MD is a General Practice in Aguas Buenas, Puerto Rico. Qualified in 2011, 15 years ago. Practices with Gemi PSC, a 10-clinician group and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
15
Licensed in
PR
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

5 Calle Albizu Campos
Aguas Buenas, PR 00703-3102
Phone: (787) 732-8595

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 23264 (PR)

Record details

NPI number1457092405
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Gemi Psc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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