Justo Luis Gonzalez Fabian

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2306 Issued in PR

Practice address

5 Calle Barbosa
Isabela, PR 00662-2956

Phone

(786) 683-9580

NPI assigned

Jan 21, 2025

Last updated

Oct 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1780496497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 BERRYKNOLL PL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE BARBOSA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622956",
            "telephone_number": "786-683-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ FABIAN",
        "first_name": "JUSTO",
        "middle_name": "LUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Goetz, PTA
• Duvier Edmundo Gomez Jimenez Sr., MD
• Sharon N Gonzalez Barbosa, MD
• Marcos Fabian Gonzalez Barreto
• Gail Vanesa Gonzalez Corchado, M.D.
• Javier Gonzalez Ortiz, R. PH.
• Astrid N Gonzalez, MS, SLP
• Daisy Quiles Gonzalez, M.A.C.P.L.
• Idalisse Marie Gonzalez, MS
• Luz M Gonzalez

• Physician Assistant in Isabela, PR
• Providers in Isabela, 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 Oct 30, 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.