Dr. Sandra Marie Gonzalez Narvaez , MD
General Practice β’ Rincon, PR
Barrio Barrero Carretera 429 K.m. 1.8
Rincon, PR 00677
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Sandra Gonzalez Narvaez is listed in NPPES under General Practice.
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NPI assigned on September 14, 2021; this date does not establish years in practice.
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Published CMS data list 154 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Famotidine β 38 prescription fills, including refills.
- Dexamethasone β 31 prescription fills, including refills.
- Prednisone β 20 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 8 records in the table Β· Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 80% of clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: 1,253. Middle half: 239 to 5,097.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 240 in 2023 to 154 in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2023β2024.
Practice Location & Contact Primary Location
Barrio Barrero Carretera 429 K.m. 1.8
Rincon, PR 00677
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
154 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,222 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Gonzalez Narvaez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Gonzalez Narvaez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Rincon and Puerto Rico
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 80% of clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: 1,253. Middle half: 239 to 5,097.
Too few clinicians listed under General Practice in Rincon have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: $34,007. Middle half: $2,958 to $213,188.
Too few clinicians listed under General Practice in Rincon have Medicare Part D data for 2024 to compare.
9 active clinicians are listed under General Practice with a practice address in Rincon, PR (4,196 in Puerto Rico).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 36% from 240 in 2023 to 154 in 2024.
- 2023: 240
- 2024: 154
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30-day fills
30-day fills decreased 36% from 240 in 2023 to 154 in 2024.
- 2023: 240
- 2024: 154
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Part D drug cost
Part D drug cost decreased 19% from $1,518 in 2023 to $1,222 in 2024.
- 2023: $1,518
- 2024: $1,222
Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Famotidine | Famotidine | 38 | 377 | $234.32 | 37 |
| Dexamethasone | Dexamethasone | 31 | 109 | $193.42 | 31 |
| Prednisone | Prednisone | 20 | 81 | $57.67 | 20 |
| Dicyclomine Hcl | Dicyclomine Hcl | 15 | 67 | $244.28 | 14 |
| Doxycycline Hyclate | Doxycycline Hyclate | 14 | 98 | $130.91 | 14 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 13 | 107 | $224.46 | 13 |
| Ondansetron Odt | Ondansetron | 12 | 53 | $72.42 | 12 |
| Nabumetone | Nabumetone | 11 | 77 | $65.01 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-12-12NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20230512002472
PR
6103282314
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at BARRIO BARRERO CARRETERA 429 K.M. 1.8, RINCON, PR 00677 (Tel: 9394884864)
General Practice (license number reported to NPPES: PR 023063)
NPI status registered as active in NPPES database
Registered at CALLE HERNANDEZ CARRION, URB ATENAS, MANATI, PR 00674 (Tel: 7876213700)
Registered at HC 2 BOX 5568, RINCON, PR 006779585
Recorded as SANDRA GONZALEZ NARVAEZ, MD
Student in an Organized Health Care Education/Training Program (license number reported to NPPES: PR 15784I)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Rincon
Mailing Address
Hc 2 Box 5568
Rincon, PR 006779585