Individual provider Active NPI

Anibal Enrique Gonzalez Alvarez, MD

  • Family Medicine Physician
  • San Juan, PR
National Provider Identifier
1376102764
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25091 Issued in PR
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

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803002041 IL Order and Referring Only - Family PracticePractitioner - Family Practice 1355702598

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125082370ILMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.