Active NPI
Waleska Gonzalez, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Caguas, PR
National Provider Identifier
1588469571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 367-P.A
- Practice address
- 500 Avenida Degetau, Hima Plaza 1, Suite 308 Caguas, PR
Caguas, PR 00778 - Phone
- (787) 474-7678
- NPI assigned
- Feb 14, 2025
- Last updated
- Feb 14, 2025
- Sex
- Female
- 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 | 367-P.A | PR | Primary |
Addresses
Primary practice location
500 Avenida Degetau, Hima Plaza 1, Suite 308 Caguas, PR
Caguas, PR 00778
Mailing address
HC 2 Box 13767
Gurabo, PR 00778-9750
Phone (787) 627-1612
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 367-P.A | PR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puerto Rico Multiple Sclerosis Center LLC | Current | Accepting new patients |
Locations
500 Ave Degetau
Ste 308
Caguas, PR 00725
Phone (787) 474-7678
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Caguas, PR
- NPI 1487354841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1588469571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 13767",
"city": "GURABO",
"state": "PR",
"postal_code": "007789750",
"telephone_number": "787-627-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 AVENIDA DEGETAU, HIMA PLAZA 1, SUITE 308 CAGUAS, PR",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-474-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "WALESKA",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "367-P.A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.