IndividualActive
Grace Gonzalez, PHYSICIAN ASSISTANT
NPI 1174124929 · Medical Physician Assistant · Arecibo, PR
Provider details
- NPI number
- 1174124929
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 000539-PA (PR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Rodriguez Olmo, Calle Armando Vega Colon
Numero 25
Arecibo, PR 00612
Phone: (939) 491-0265
Mailing address
Rodriguez Olmo Calle Armando Vega Colon
Arecibo, PR 00612
Registry dates
- Enumerated
- 2020-11-06
- Last updated
- 2020-11-11
- Certified
- 2020-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.