Alex R Gonzalez, P.T.
Individual provider Active NPI Physical Therapist · Vega Baja, PR
NPI 1043343007 · NPPES record last updated Mar 18, 2019
Key facts
- NPI
- 1043343007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1122 (PR)
- Practice address
- D18 Calle Marginal
Urb Villa Real
Vega Baja, PR 00693-4504 - Phone
- (787) 644-3161
- Fax
- (787) 772-7731
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Puerto Rico School of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
D18 Calle Marginal
Vega Baja, PR 00693-4504
Phone (787) 654-8400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070724000254 | PR | Practitioner - Physical Therapist in Private Practice | 8820199623 | Practice locations: Vega Baja, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fisioterapia En la Montana | Physical Therapist | Past | Accepting new patients |
| Clinica de Terapia Fisica Villa Real Inc | Past | Accepting new patients | |
| BRG Medical LLC | Past |
Accepting new patients | |
| Kidney Health Services LLC | Past |
Accepting new patients | |
| Caribbean Regenerative Medicine LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1122 | PR | Yes |
Addresses
Primary practice location
D18 Calle Marginal
Urb Villa Real
Vega Baja, PR 00693-4504
Mailing address
140 Calle Rosa Maria
Urb Vega Serena
Vega Baja, PR 00693-5860
Phone (787) 644-3161
Other providers in Vega Baja, PR
- Dwayne Garcia Velez
- Aolenys Garcia-Dominguez
- Alanis Fabiola Garcia
- Gobierno Municipal de Vega Baja
- Zorelisa Gonzalez Adorno
- Carmen Julia Gonzalez
- Hiram Morales Gonzalez
- Liza A Gonzalez
- Yanira Gonzalez
- Zorimar Gonzalez
All providers in Vega Baja, PR · Physical Therapist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.