Individual provider Active NPI

Alberto Gonzalez, PA

  • Medical Physician Assistant
  • San Juan, PR
National Provider Identifier
1265305957
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002658-P.A. Issued in PR
Practice address
361 Calle Sgto Luis Medina
San Juan, PR 00918-3817
Phone
(787) 763-6432
Fax
(787) 777-1366
NPI assigned
Sep 29, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 002658-P.A. PR Primary

Addresses

Primary practice location

361 Calle Sgto Luis Medina
San Juan, PR 00918-3817

Mailing address

1308 80TH St
North Bergen, NJ 07047-4158
Phone (787) 763-6432

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002658-P.A.PRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physician Care PSC Single Specialty CurrentSince Oct 5, 2025 Accepting new patients

Locations

361 Calle Sgto Luis Medina
San Juan, PR 00918
Phone (787) 614-5231

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1265305957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 80TH ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474158",
            "telephone_number": "787-763-6432",
            "fax_number": "787-777-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 CALLE SGTO LUIS MEDINA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183817",
            "telephone_number": "787-763-6432",
            "fax_number": "787-777-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALBERTO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "002658-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.