Active NPI
Alberto Gonzalez, PA
- Medical Physician Assistant
- San Juan, PR
National Provider Identifier
1265305957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 002658-P.A.
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 002658-P.A. | PR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Physician Care PSC | Single Specialty | Current | 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.