IndividualActive
Justo Gonzalez Fabian
NPI 1780496497 · Physician Assistant · Isabela, PR
Provider details
- NPI number
- 1780496497
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2306 (PR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Mailing address
2717 Berryknoll Pl
Valrico, FL 33596-5730
Registry dates
- Enumerated
- 2025-01-21
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.