Individual provider Active NPI

Alejandra Enid Gonzalez, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Mayaguez, PR
National Provider Identifier
1316343221
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
018937 Issued in PR
Practice address
351 Ave Hostos Ste 205
Mayaguez, PR 00680-1503
Phone
(787) 404-0909
NPI assigned
Nov 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 018937 PR Primary

Addresses

Primary practice location

351 Ave Hostos Ste 205
Mayaguez, PR 00680-1503

Mailing address

351 Ave Hostos Ste 205
Mayaguez, PR 00680-1503
Phone (787) 404-0909

Other practice location 1

2 Calle Providencia Barrero
San Sebastian, PR 00685-2180
Phone (787) 831-5831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029001228 PR Practitioner - Sports MedicinePractitioner - Family Practice 2567789365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMR Instituto de Medicina de Familia del Oeste CSPGroup PAC ID 0345300216, 2 clinicians

Practice addresses (Care Compare)

351 Ave Hostos
Mayaguez, PR 00680-1502
Phone (787) 831-5831

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018937PRMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MMR Instituto de Medicina de Famillia del Oeste Family Medicine Current Accepting new patients

Organizations & group practices 2

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": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1316343221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS STE 205",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801503",
            "telephone_number": "787-404-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS STE 205",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801503",
            "telephone_number": "787-404-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Calle Providencia Barrero",
            "address_purpose": "LOCATION",
            "city": "San Sebastian",
            "state": "PR",
            "postal_code": "006852180",
            "country_code": "US",
            "telephone_number": "787-831-5831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALEJANDRA",
        "middle_name": "ENID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PR",
            "license": "018937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.