Active NPI
Anibal Enrique Gonzalez Alvarez, MD
- Family Medicine Physician
- San Juan, PR
National Provider Identifier
1376102764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25091
- Practice address
- Condominio la Ciudadela, 1511 Av. Juan Ponce de Leon
Suite 3
San Juan, PR 00909 - Phone
- (787) 339-2639
- NPI assigned
- Jun 10, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25091 | PR | Primary |
Addresses
Primary practice location
Condominio la Ciudadela, 1511 Av. Juan Ponce de Leon
Suite 3
San Juan, PR 00909
Mailing address
Condominio la Ciudadela, 1511 Av. Juan Ponce de Leon
Suite 3
San Juan, PR 00909
Phone (787) 339-2639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230803002041 | IL | Order and Referring Only - Family Practice | 1355702598 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125082370 | IL | MD | Family Medicine Physician |
Interoperability endpoints
- anibal.gonzalez.alvarez.1@11903.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1376102764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONDOMINIO LA CIUDADELA, 1511 AV. JUAN PONCE DE LEON",
"address_2": "SUITE 3",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-339-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONDOMINIO LA CIUDADELA, 1511 AV. JUAN PONCE DE LEON",
"address_2": "SUITE 3",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-339-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ ALVAREZ",
"first_name": "ANIBAL",
"middle_name": "ENRIQUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-10",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "25091",
"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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.