Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gabriel Isaza Gonzalez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538510508

Gabriel Isaza Gonzalez is a Dermatology in Philadelphia, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Advanced Dermatology of Pennsylvania, PC, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
19
Licensed in
PA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

Additional practice locations (1)

  • 36475 Five Mile Rd, Livonia, MI 48154-1971 — (734) 655-4800

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD471112 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538510508
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Advanced Dermatology Of Pennsylvania, Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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