Marcos Fabian Gonzalez Barreto

Individual provider Active NPI Physician Assistant · Isabela, PR

NPI 1073447553 · NPPES record last updated Jun 10, 2026

Key facts

NPI
1073447553
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
2919 (PR)
Practice address
4 Calle Las Delicias
Isabela, PR 00662-4216
Phone
(939) 308-1830
Fax
(939) 308-1830
NPI assigned
Jun 10, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
363A00000X 2919 PR Yes

Addresses

Primary practice location

4 Calle Las Delicias
Isabela, PR 00662-4216

Mailing address

4 Calle Las Delicias
Isabela, PR 00662-4216
Phone (939) 308-1830

Other providers in Isabela, PR

All providers in Isabela, PR · Physician Assistant in Puerto Rico

Sources for this page

Verify at the official NPI Registry.