Kerisha Marly Mendez Gonzalez, MD, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2481-PA Issued in PR

Practice address

Carr. 417 KM 4.2 Bo. Mamey
Edificio Palma Real
Aguada, PR 00602-0000

Phone

(787) 477-0342

NPI assigned

Jul 7, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

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.

• Dra Damarys Gonzalez Galicia PSC

  • Health Service Clinic/Center
  • Aguada, PR
  • NPI 1891359329
  NPD (past)

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1427948017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 120694",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006768369",
            "telephone_number": "787-231-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 417 KM 4.2 BO. MAMEY",
            "address_2": "EDIFICIO PALMA REAL",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020000",
            "telephone_number": "787-477-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ GONZALEZ",
        "first_name": "KERISHA",
        "middle_name": "MARLY",
        "credential": "MD, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2481-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claribel Medina Montano
• Medina Vazquez Psychologist LLC
• Mednur Corp
• Melanie Acevedo Valle LLC
• Alondra Del Koral Mendez Gonzalez, PSYD
• Edgar Mendez Negron, M.D.
• Carmen Ivette Mendez, LIC
• Hector M Mendez
• Jason Mendez, MCSW
• Myrna G Mendez

• Physician Assistant in Aguada, PR
• Providers in Aguada, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.